Individual
ASHLEY BRIANN ORVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13541 SE MARKET STREET, PORTLAND, OR 97233
(503) 258-9734
(503) 258-8892
Mailing address
5912 NE 109TH ST, VANCOUVER, WA 98686-5927
(775) 223-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
10/04/2013
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