Individual
MS. TRESA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PPS
Contact information
Practice address
5338 N BORTHWICK AVE, PORTLAND, OR 97217-2310
(971) 610-9056
Mailing address
PO BOX 4071, PORTLAND, OR 97208-4071
(971) 610-9056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
THW000108887
OR
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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