Individual
MRS. MYRA SICILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 NW LOVEJOY ST, 328, PORTLAND, OR 97209-2346
(503) 597-8675
Mailing address
824 NW 20TH AVE, #204, PORTLAND, OR 97209-1454
(503) 597-8675
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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