Individual
MS. LISA MARIE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2100 NE BROADWAY ST, SUITE 323, PORTLAND, OR 97232-1569
(503) 915-1082
Mailing address
6945 NE 13TH AVE, PORTLAND, OR 97211-4022
(503) 333-9301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3672
OR
Other
Enumeration date
11/09/2011
Last updated
03/04/2024
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