Vincent Michael Defazio, MED - Portland, OR

Vincent Michael Defazio, MED

Counselor in Portland, Oregon

NPI 1508138728

Vincent Michael Defazio is a Counselor based in Portland, OR. Vincent Michael Defazio practices in Portland, OR and has the professional credentials of MED. The NPI Number for Vincent Michael Defazio is 1508138728 and holds a License No. (Oregon).

The current practice location address for Vincent Michael Defazio is 3415 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-234-9591.

Location: 3415 Se Powell Blvd, Portland, OR, 97202-3371

NPI Number

1508138728

Provider Name

Vincent Michael Defazio

Credential

MED

Provider Entity Type

Individual

Gender

Male

Address

3415 Se Powell Blvd, Portland, OR, 97202-3371

Phone Number

503-234-9591

Fax Number

Provider Enumeration Date

02/03/2012

Last Update Date

03/09/2024

Address

3415 Se Powell Blvd

City

Portland

State

Oregon

Zip

97202-3371

Phone Number

503-234-9591

Fax Number

Address

3415 Se Powell Blvd

City

Portland

State

Oregon

Zip

97202-3371

Phone Number

503-234-9591

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

(Oregon)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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