Organization
ERIN DURST PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN ELIZABETH DURST LCSW (INDIVIDUAL AND FAMILY THERAPIST)
(971) 219-7685
Entity
Organization
Contact information
Practice address
1112 NE 21ST AVE STE 1, PORTLAND, OR 97232-2595
(971) 219-7685
Mailing address
1112 NE 21ST AVE STE 1, PORTLAND, OR 97232-2595
(971) 219-7685
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L6314
OR
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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