Individual
MARISSA HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 NW LOVEJOY ST STE 204, PORTLAND, OR 97210-2863
(503) 563-4320
(971) 209-7262
Mailing address
1415 SW COLUMBIA ST APT 305, PORTLAND, OR 97201-2635
(858) 668-6671
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8052
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/28/2019
Last updated
12/28/2022
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