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Individual

DR. AYAKO FUJISAKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2049 NW HOYT ST, PORTLAND, OR 97209-1260
(503) 358-1009
Mailing address
1706 SE 55TH AVE, PORTLAND, OR 97215-3344
(503) 358-1009

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5147
OR

Other

Enumeration date
02/18/2019
Last updated
02/18/2019
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