| Aiyana Counseling Llc | |
|
7822 Sw Capitol Hwy Ste 5 Portland OR 97219-2495 | |
| (503) 422-7987 | |
| (503) 914-1561 |
| Full Name | Aiyana Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7822 Sw Capitol Hwy Ste 5, Portland, Oregon |
| Authorized Official Name and Position | Robin C Gibler (OWNER) |
| Authorized Official Contact | 5034227987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aiyana Counseling Llc Po Box 19303 Portland OR 97280-0303 Ph: (503) 422-7987 | Aiyana Counseling Llc 7822 Sw Capitol Hwy Ste 5 Portland OR 97219-2495 Ph: (503) 422-7987 |
| NPI Number | 1700382801 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 04/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700382801 | NPI | - | NPPES |
| 500670491 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C3378 (Oregon) | Primary |
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