person
Lisa Diane Henry
Mental Health Counselor in Portland, Oregon
NPI 1619614120

Lisa Diane Henry is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Lisa Diane Henry practices in Portland, OR. The NPI Number for Lisa Diane Henry is 1619614120 and holds a License No. (Oregon).

The current practice location address for Lisa Diane Henry is 17720 Ne Halsey St Ste A, Portland, OR and can be reached out via phone at 503-654-7654 and via fax at 503-654-7333.

Location: 17720 Ne Halsey St Ste A, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1619614120
Provider Name
Lisa Diane Henry
Credential
Provider Entity Type
Individual
Gender
Female
Address
17720 Ne Halsey St Ste A, Portland, OR, 97504-4004
Phone Number
503-654-7654
Fax Number
503-654-7333
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17720 Ne Halsey St Ste A
City
State
Zip
97230-6771
Phone Number
503-654-7654
Fax Number
503-654-7333
person
Provider Business Mailing Address Details
Address
17720 Ne Halsey St Ste A
City
State
Zip
97230-6771
Phone Number
503-654-7654
Fax Number
503-654-7333
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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