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Individual

KAMISIA STASZEWSKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2049 NW HOYT ST, PORTLAND, OR 97209-1260
(503) 619-7536
Mailing address
2049 NW HOYT ST, PORTLAND, OR 97209-1260
(503) 619-7536

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2998
OR

Other

Enumeration date
12/30/2008
Last updated
09/24/2018
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