Individual
JILLIAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
3500 NE MARTIN LUTHER KING JR BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205
Mailing address
5004 N MONTANA AVE, PORTLAND, OR 97217-3768
(617) 838-0570
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R9087
OR
221700000X
Art Therapist
22-180
—
221700000X
Art Therapist
ART-C-10231130
OR
Other
Enumeration date
01/02/2018
Last updated
10/30/2024
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