Individual
EUGENIA SALOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 233-5405
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
51013
CA
106H00000X
Marriage & Family Therapist
Primary
T0193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
MEDICARE
OR
05
—
164936
—
OR
Enumeration date
12/16/2015
Last updated
01/04/2016
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