Individual
DIANE DESYLVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3570 SW RIVER PKWY, STE. 1709, PORTLAND, OR 97239-4534
(503) 636-4767
Mailing address
3570 SW RIVER PKWY, STE. 1709, PORTLAND, OR 97239-4534
(503) 636-4767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1597
OR
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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