Individual
MRS. MARISSA EKILAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(888) 333-6177
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
05/18/2021
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