Individual
TASYA HERSKOVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Mailing address
13239 SE RAYMOND ST, PORTLAND, OR 97236-3943
(760) 401-2858
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
12/07/2023
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