THEA MARIE BASMILLO LEE

BEAVERTON, OR
NPI1831765932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-05-28
Last Update Date2021-05-28
Business Address
THEA MARIE BASMILLO LEE MSW
10700 SW BEAVERTON HILLSDALE HWY STE 11
BEAVERTON, OR 97005-3035
Phone number: 503-641-1475
Mailing Address
THEA MARIE BASMILLO LEE MSW
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: 503-645-3581