Individual
VIDA DJORGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15021 SE BUSH ST, PORTLAND, OR 97236-2433
(503) 267-1844
Mailing address
15021 SE BUSH ST # SS, PORTLAND, OR 97236-2433
(503) 267-1844
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OR
376J00000X
Homemaker
Primary
—
OR
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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