Individual
PHILIP C REISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 SE 14TH AVE., SUITE 206, PORTLAND, OR 97214
(503) 267-8040
Mailing address
12 SE 14TH AVE., SUITE 206, PORTLAND, OR 97214
(503) 267-8040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3561
OR
Other
Enumeration date
10/22/2014
Last updated
11/13/2024
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