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Individual

WILLIE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(504) 326-5175
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(504) 326-5175

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
161647385
LA
101YM0800X
Mental Health Counselor
Primary
C9283
OR
101YP2500X
Professional Counselor
Primary
C9283
OR

Other

Enumeration date
01/29/2016
Last updated
02/04/2026
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