Individual
HIIAKA VARUA STENSVAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6637 SE MILWAUKIE AVE STE 201, PORTLAND, OR 97202-5658
(503) 706-1226
Mailing address
6704 SE 17TH AVE, PORTLAND, OR 97202-5624
(503) 706-1226
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
C-5428
OR
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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