Individual
ARISSARA MIYOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5228 NE HOYT ST BLDG B3, PORTLAND, OR 97213-3055
(503) 215-4860
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5281
OR
Other
Enumeration date
02/23/2010
Last updated
09/30/2024
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