Individual provider · Type 1 NPI

Lisha Song

Mental Health Counselor · Portland, OR

NPI number 1437261682 Active

Practice location

2415 SE 43rd Ave Ste 200
Portland, OR 97206-1671

Mailing address

20516 NW Sedona Ln
Beaverton, OR 97006-2030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1437261682

Lisha Song's National Provider Identifier is 1437261682, issued on Aug 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.