DAVID IXTLAHUAC

PORTLAND, OR
NPI1144727348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: OR  T1543)
Enumeration Date2018-04-12
Last Update Date2020-03-03
Business Address
DAVID IXTLAHUAC LMFT
1110 SE ALDER ST STE 301
PORTLAND, OR 97214-2400
Phone number: 971-303-8243
Mailing Address
DAVID IXTLAHUAC LMFT
3705 N OVERLOOK BLVD APT 311
PORTLAND, OR 97227-2036
Phone number: 971-303-8243
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