Individual
EZRA UNTERSEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, R-DMT
Contact information
Practice address
2000 NE 42ND AVE # 1010, PORTLAND, OR 97213-1399
(509) 378-2548
Mailing address
2000 NE 42ND AVE # 1010, PORTLAND, OR 97213-1399
(971) 258-2752
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
3083
—
Other
Enumeration date
07/11/2025
Last updated
07/15/2025
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