Individual
BIJAN MADJLESSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(512) 677-7121
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-6106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103856
CA
106H00000X
Marriage & Family Therapist
116675
CA
106H00000X
Marriage & Family Therapist
LMFT116675
CA
106H00000X
Marriage & Family Therapist
Primary
T2865
OR
Other
Enumeration date
01/07/2019
Last updated
01/24/2025
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