Individual provider · Type 1 NPI

Eliasar Diaz Lupean

Mental Health Counselor · Portland, OR

NPI number 1083170195 Active

Practice location

9320 SW Barbur Blvd Ste 200
Portland, OR 97219-5499

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1083170195

Eliasar Diaz Lupean's National Provider Identifier is 1083170195, issued on Feb 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 13, 2019.