Individual provider · Type 1 NPI

Lisa Lynn Vesely

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1225635287 Active

Practice location

1122 NE 122nd Ave Ste A200
Portland, OR 97230-2083

Call (503) 594-4750 Map

Fax (971) 888-4607

Mailing address

1335 NW 23rd Ave Apt 105
Portland, OR 97210-2687

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT20163 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225635287

Lisa Lynn Vesely's National Provider Identifier is 1225635287, issued on Oct 2, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Oct 2, 2020.