IndividualActive
Therese Long
NPI 1003217456 · Marriage & Family Therapist · Portland, OR
Provider details
- NPI number
- 1003217456
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Practice location
4300 Ne Fremont St Ste 260
Portland, OR 97213-1100
Phone: (503) 544-9996
Approximate (ZIP-level) locationGet directions
Mailing address
14600 Nw Cornell Rd
Portland, OR 97229-5442
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.