Individual
MILES GRAHAM SALISBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12250 SW 2ND ST STE A-103, BEAVERTON, OR 97005-2828
(503) 267-6128
Mailing address
12250 SW 2ND ST STE A-103, BEAVERTON, OR 97005-2828
(503) 267-6128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2997
OR
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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