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Individual

VANESSA LYNN WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
511 SW 10TH AVE STE 1104, PORTLAND, OR 97205-2712
(503) 444-8214
(888) 978-8164
Mailing address
511 SW 10TH AVE STE 1104, PORTLAND, OR 97205-2712
(503) 444-8214
(888) 978-8164

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C3358
OR
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500669881
OR
Enumeration date
08/22/2011
Last updated
03/17/2018
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