Individual provider · Type 1 NPI

Mary Heriza, LPC

Professional Counselor · Portland, OR

NPI number 1295377307 Active

Practice location

4431 SE Woodstock Blvd
Portland, OR 97206-6271

Call (503) 490-4040 Map

Mailing address

7627 SE Ellis St
Portland, OR 97206-5105

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC5409 (OR)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1295377307

Mary Heriza, LPC's National Provider Identifier is 1295377307, issued on Oct 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Oct 9, 2019.