Individual
ALISHA HAUNANI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205
(971) 254-4882
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/25/2019
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