IVANA MACLAY

PORTLAND, OR
NPI1427412626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R4222)
Enumeration Date2016-04-13
Last Update Date2019-01-08
Business Address
IVANA MACLAY
847 NE 19TH AVE
PORTLAND, OR 97232
Phone number: 503-238-0769
Mailing Address
IVANA MACLAY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769