person
Lisha Song
Mental Health Counselor in Portland, Oregon
NPI 1437261682

Lisha Song is a Mental Health Counselor based in Beaverton, OR and is specialized in Mental Health. Lisha Song practices in Portland, OR. The NPI Number for Lisha Song is 1437261682 and holds a License No. (Oregon).

The current practice location address for Lisha Song is 2415 Se 43Rd Ave Ste 200, Portland, OR and can be reached out via phone at 503-230-9654. You can also correspond with Lisha Song through the mailing address at 20516 NW SEDONA LN, BEAVERTON, OR - 97006-2030 (mailing address contact number: 503-309-2175).

Location: 2415 Se 43Rd Ave Ste 200, Portland, OR, 97006-2030
person
Provider Profile Details
NPI Number
1437261682
Provider Name
Lisha Song
Credential
Provider Entity Type
Individual
Gender
Female
Address
2415 Se 43Rd Ave Ste 200, Portland, OR, 97006-2030
Phone Number
503-230-9654
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2415 Se 43Rd Ave Ste 200
City
State
Zip
97206-1671
Phone Number
503-230-9654
Fax Number
person
Provider Business Mailing Address Details
Address
2415 Se 43Rd Ave Ste 200
City
State
Zip
97206-1671
Phone Number
503-230-9654
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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