Diane Desylvia, L.P.C.
Counselor, Professional in Portland, OR. Individual provider (NPI-1).
NPI number1295047751
StatusActive
Last updated in NPPESJul 12, 2010
Details
- NPI
- 1295047751
- Entity type
- Individual (NPI-1)
- Name
- Diane Desylvia
- Credential
- L.P.C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2010
- Last updated
- Jul 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1597 | OR | Yes |
Other names
- Diane Homes (Other Name)
Practice location
3570 Sw River PkwySte. 1709
Portland, OR 97239-4534
Phone 503-636-4767
Mailing address
3570 Sw River PkwySte. 1709
Portland, OR 97239-4534
Phone 503-636-4767
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