Organization
BLACK THERAPY PORTLAND, LLC
Active
Parent organization
MISAO ELIAHIM
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISAO ELIAHIM
Authorized official
MISAO ELIAHIM LMFT (OWNER/MH THERAPIST)
(415) 966-8067
Entity
Organization
Contact information
Practice address
8420 N IVANHOE ST # 83811, PORTLAND, OR 97203-4826
(415) 966-8067
(503) 689-8481
Mailing address
8420 N IVANHOE ST # 83811, PORTLAND, OR 97203-4826
(415) 966-8067
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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