Individual provider · Type 1 NPI

Pesha Wasserstrom

Mental Health Counselor · Portland, OR

NPI number 1114888906 Active

Practice location

1827 NE 44th Ave Ste 310
Portland, OR 97213-1468

Call (503) 320-7136 Map

Mailing address

PO Box 873882
Vancouver, WA 98687-3882

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114888906

Pesha Wasserstrom's National Provider Identifier is 1114888906, issued on Nov 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 9, 2026.