Individual
LISA BIRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11349 NE SANDY BLVD, PORTLAND, OR 97220-1461
(503) 597-3942
(503) 597-3943
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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