IndividualActive
Alisa Avvakumova
NPI 1033082326 · Counselor · Portland, OR
Alisa Avvakumova is a Counselor provider in Portland, OR (NPI 1033082326).
Provider details
- NPI number
- 1033082326
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
605 Se Cesar E Chavez Blvd
Portland, OR 97214-3216
Phone: (503) 731-9589
Street-level locationGet directions
Mailing address
605 Se Cesar E Chavez Blvd
Portland, OR 97214-3216
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.