-- AISHA BANSE --
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1144674268- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1508 SW 13TH AVE, PORTLAND, OR, 972013312
- Phone
- (503) 726-3760
Specialties & Taxonomies
Counselor, Mental Health
Primary
All Addresses
MAILING
8915 SW CENTER ST
TIGARD, OR, 972236307