ALISSA DYAN BAZINET

PORTLAND, OR
NPI1811410582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  2719)
Enumeration Date2017-07-24
Last Update Date2022-03-31
Business Address
Dr. ALISSA DYAN BAZINET PhD
5200 S MACADAM AVE STE 460
PORTLAND, OR 97239-3836
Phone number: 503-272-1713
Mailing Address
Dr. ALISSA DYAN BAZINET PhD
3737 SE 50TH AVE
PORTLAND, OR 97206-3024
Phone number: 619-203-8403
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