LISHA SONG

PORTLAND, OR
NPI1437261682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- LISHA SONG
2415 SE 43RD AVE STE 200
PORTLAND, OR 97206-1671
Phone number: 503-230-9654
Mailing Address
-- LISHA SONG
20516 NW SEDONA LN
BEAVERTON, OR 97006-2030
Phone number: 503-309-2175
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