Individual provider · Type 1 NPI

Lisa Grossenbacher

Mental Health Counselor · Portland, OR

NPI number 1346869161 Active

Practice location

8041 E Burnside St
Portland, OR 97215-1548

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346869161

Lisa Grossenbacher's National Provider Identifier is 1346869161, issued on Apr 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 12, 2020.