Individual
ANDREW BELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2507 CHRISTIE DR., LAKE OSWEGO, OR 97034
(503) 744-4416
Mailing address
1953 NW OVERTON ST APT 225, PORTLAND, OR 97209-1894
(503) 744-4416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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