Azin Ghoreyshi is a Counselor based in Portland, OR. Azin Ghoreyshi practices in Portland, OR. The NPI Number for Azin Ghoreyshi is 1780290411 and holds a License No. (Oregon).
The current practice location address for Azin Ghoreyshi is 11035 Ne Sandy Blvd, Portland, OR and can be reached out via phone at 503-258-4200.
Location: 11035 Ne Sandy Blvd, Portland, OR, 97220-2553
Provider Profile Details
NPI Number
1780290411
Provider Name
Azin Ghoreyshi
Credential
Provider Entity Type
Individual
Gender
Female
Address
11035 Ne Sandy Blvd, Portland, OR, 97220-2553
Phone Number
503-258-4200
Fax Number
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OK301K2S | 05 | OR |
Provider Business Practice Location Address Details
Address
11035 Ne Sandy Blvd
City
State
Zip
97220-2553
Phone Number
503-258-4200
Fax Number
Provider Business Mailing Address Details
Address
11035 Ne Sandy Blvd
City
State
Zip
97220-2553
Phone Number
503-258-4200
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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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