FIRST MOON ISABELLE VENECIA

PORTLAND, OR
NPI1073449682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2026-06-22
Last Update Date2026-06-22
Business Address
FIRST MOON ISABELLE VENECIA
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239-3849
Phone number: 503-635-3416
Mailing Address
FIRST MOON ISABELLE VENECIA
5331 S MACADAM AVE STE 287
PORTLAND, OR 97239-3849
Phone number: 503-635-3416
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