ELIASAR DIAZ LUPEAN

PORTLAND, OR
NPI1083170195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
ELIASAR DIAZ LUPEAN
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661
Mailing Address
ELIASAR DIAZ LUPEAN
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661