Individual
MAYA EVANGELINE BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18417 SE OAK ST, PORTLAND, OR 97233-4850
(971) 727-8026
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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