person
Lisa Lynn Vesely
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1225635287

Lisa Lynn Vesely is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Lisa Lynn Vesely practices in Portland, OR. The NPI Number for Lisa Lynn Vesely is 1225635287 and holds a License No. T20163 (Oregon).

The current practice location address for Lisa Lynn Vesely is 1122 Ne 122Nd Ave Ste A200, Portland, OR and can be reached out via phone at 503-594-4750 and via fax at 971-888-4607.

Location: 1122 Ne 122Nd Ave Ste A200, Portland, OR, 97210-2687
person
Provider Profile Details
NPI Number
1225635287
Provider Name
Lisa Lynn Vesely
Credential
Provider Entity Type
Individual
Gender
Female
Address
1122 Ne 122Nd Ave Ste A200, Portland, OR, 97210-2687
Phone Number
503-594-4750
Fax Number
971-888-4607
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1122 Ne 122Nd Ave Ste A200
City
State
Zip
97230-2083
Phone Number
503-594-4750
Fax Number
971-888-4607
person
Provider Business Mailing Address Details
Address
1122 Ne 122Nd Ave Ste A200
City
State
Zip
97230-2083
Phone Number
503-594-4750
Fax Number
971-888-4607
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T20163 (Oregon)
Definition
Definition to come...
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