Individual
MRS. TARA JESSIE PALANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5319 SW WESTGATE DR, PORTLAND, OR 97221-2411
(503) 907-9900
Mailing address
5319 SW WESTGATE DR, PORTLAND, OR 97221-2411
(503) 907-9900
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1426
OR
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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