NPI 1003217456

Therese Long

Practitioner Marriage & Family Therapist Portland, OR

Practice location

Address: 4300 NE Fremont St STE 260, Portland, OR 97213-1100
Phone: (503) 544-9996
Mailing address: 14600 NW Cornell Rd, Portland, OR 97229-5442

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T1370 (OR)

Other Marriage & Family Therapist providers in Oregon →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Registry record

NPI: 1003217456
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2014
Record last updated: 25 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.