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Individual

MS. ANYA VALSAMAKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1235 SE DIVISION SU 204, PORTLAND, OR 97202
(503) 415-1383
Mailing address
3135 SE ANKENY ST UNIT B, PORTLAND, OR 97214-1941
(503) 281-3298

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L6075
OR
251S00000X
Community/Behavioral Health Agency
Primary
L6075
OR
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
09/13/2011
Last updated
12/15/2015
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