LIBAN HERSI

PORTLAND, OR
NPI1568294361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHA-R-4840)
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
LIBAN HERSI QMHA-R
10011 SE DIVISION ST STE 203
PORTLAND, OR 97266-1354
Phone number: 503-964-5182
Mailing Address
LIBAN HERSI QMHA-R
10011 SE DIVISION ST STE 203
PORTLAND, OR 97266-1354
Phone number: 503-964-5182
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