ABBIE SISOUPHANH

PORTLAND, OR
NPI1760228787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R9891)
Enumeration Date2024-07-09
Last Update Date2024-09-18
Business Address
ABBIE SISOUPHANH MS, CRC
4531 SE BELMONT ST
PORTLAND, OR 97215-1699
Phone number: 000-000-0000
Mailing Address
ABBIE SISOUPHANH MS, CRC
4531 SE BELMONT ST STE 315
PORTLAND, OR 97215-1675
Phone number: 503-317-6802
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