Individual
ALISA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 NW GLISAN ST, PORTLAND, OR 97210-3420
(503) 927-0384
Mailing address
57679 NW JOHANSEN LN, GALES CREEK, OR 97117-9382
(971) 200-0117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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