Individual provider · Type 1 NPI

Tod Evan Fiste, LPC, MFT

Professional Counselor · Portland, OR

NPI number 1790079101 Active

Practice location

1815 NW Flanders St, Suite 101
Portland, OR 97209-2060

Call (503) 946-6499 Map

Fax (503) 966-7948

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2614 (OR)
Marriage & Family Therapist 106H00000XMFC44519 (CA)

Professional Counselor: Definition to come...

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About NPI 1790079101

Tod Evan Fiste, LPC, MFT's National Provider Identifier is 1790079101, issued on Jun 2, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jul 30, 2015.