Building Resiliency LLC
Counselor, Professional in Gresham, OR. Organization (NPI-2).
NPI number1972044790
StatusActive
Last updated in NPPESMar 27, 2017
Details
- NPI
- 1972044790
- Entity type
- Organization (NPI-2)
- Legal business name
- Building Resiliency LLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2017
- Last updated
- Mar 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | R4360 | OR | Yes |
Practice location
510 Ne Roberts Ave Ste 310Gresham, OR 97030-7485
Phone 503-997-8863
Mailing address
2129 Se 176th AvePortland, OR 97233-5203
Phone 503-997-8863
Authorized official
Desiree Dawn Stang
Registered Lpc Intern
5039978863
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