Organization
SALAL PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH SUE GIBIAN LCSW (OWNER)
(503) 222-3125
Entity
Organization
Contact information
Practice address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 222-3125
Mailing address
1732 SE ASH ST, PORTLAND, OR 97214-1526
(503) 222-3125
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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