| Bezanson Psychotherapy Llc | |
|
6504 Ne Siskiyou St Portland OR 97213-4572 | |
| (971) 274-0189 | |
| Not Available |
| Full Name | Bezanson Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6504 Ne Siskiyou St, Portland, Oregon |
| Authorized Official Name and Position | Jennifer Bezanson (CEO) |
| Authorized Official Contact | 9712740189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bezanson Psychotherapy Llc 6504 Ne Siskiyou St Portland OR 97213-4572 Ph: (971) 274-0189 | Bezanson Psychotherapy Llc 6504 Ne Siskiyou St Portland OR 97213-4572 Ph: (971) 274-0189 |
| NPI Number | 1699595595 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699595595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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