Individual
MS. LISA KAYE SIEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE, SUITE 200, PORTLAND, OR 97206-1600
(503) 230-9654
Mailing address
21805 SE ALDER DR, APT # 7, GRESHAM, OR 97030-2451
(503) 328-8623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
12/05/2007
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