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Individual

LISA MARIE GIRASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3034 NE MLK BLVD, PORTLAND, OR 97212-3053
(503) 889-2500
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
3125
WA

Other

Enumeration date
12/18/2012
Last updated
03/09/2020
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