| Building Resiliency Llc | |
|
510 Ne Roberts Ave Ste 310 Gresham OR 97030-7485 | |
| (503) 997-8863 | |
| Not Available |
| Full Name | Building Resiliency Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 510 Ne Roberts Ave Ste 310, Gresham, Oregon |
| Authorized Official Name and Position | Desiree Dawn Stang (REGISTERED LPC INTERN) |
| Authorized Official Contact | 5039978863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Resiliency Llc 2129 Se 176th Ave Portland OR 97233-5203 Ph: (503) 997-8863 | Building Resiliency Llc 510 Ne Roberts Ave Ste 310 Gresham OR 97030-7485 Ph: (503) 997-8863 |
| NPI Number | 1972044790 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972044790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | R4360 (Oregon) | Primary |
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