Individual
ALYSSA SUZANNE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PWS, CRM, THW
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(971) 727-8026
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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