Individual
CAMI MISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2540 SW 112TH PL, PORTLAND, OR 97225-4452
(503) 660-3091
(971) 417-2109
Mailing address
2540 SW 112TH PL, PORTLAND, OR 97225-4452
(503) 660-3091
(971) 417-2109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7541
OR
Other
Enumeration date
07/29/2010
Last updated
03/04/2024
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