Individual
LISA SLOAN STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LLC
Contact information
Practice address
5319 SW WESTGATE DR, PORTLAND, OR 97221-2411
(503) 974-1551
Mailing address
6312 SW CAPITOL HWY # 135, PORTLAND, OR 97239-1938
(503) 974-1551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C4736
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/25/2014
Last updated
03/02/2018
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