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Individual

SIBYLLE ARTEMISIA DEHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
714 MAIN ST STE B-207, OREGON CITY, OR 97045-1826
(971) 806-0221
Mailing address
15 NW PARK AVE APT 419, PORTLAND, OR 97209-4171
(571) 533-4367

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/19/2024
Last updated
10/02/2024
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