ANNASTACIA DESIREE WEISS

PORTLAND, OR
NPI1619523255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  19-QMHA-I-02193)
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
ANNASTACIA DESIREE WEISS
12121 E BURNSIDE ST
PORTLAND, OR 97216-3737
Phone number: 971-361-7700
Mailing Address
ANNASTACIA DESIREE WEISS
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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