Individual
LADAN RADAFSHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 SW MORRISON ST STE 315, PORTLAND, OR 97205-2628
(503) 395-5204
Mailing address
5300 SE FOSTER RD, PORTLAND, OR 97206-2938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/12/2020
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