Individual
TZAPHKIEL ABLOSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
811 SW 6TH AVE, PORTLAND, OR 97204-1334
(833) 225-6774
Mailing address
3439 SE HAWTHORNE BLVD STE 1008, PORTLAND, OR 97214-5048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
112998
OR
374K00000X
Religious Nonmedical Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/31/2024
Last updated
08/02/2025
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