MODUPE DESIREE BANSILE

Peer Specialist

NPI: 1790133031Individual

Specialties, Licenses & Credentials

Counselor

Counselor

Code: 101Y00000X

Peer SpecialistPrimary

Peer Specialist

Code: 175T00000X

THW2156(OR)

Contact & Hours

Via practice · 3 locations total

Address: 209 SW FOURTH AVE, SUITE 520
PORTLAND, OR 97204
Phone: (541) 556-9195

Practice locations map

Locations (3)

Practice Location

209 SW FOURTH AVE, SUITE 520, PORTLAND, OR

Practice Location

707 NE COUCH ST, PORTLAND, OR

Practice Location

445 Port Ave, Saint Helens, OR

Quick Facts

NPI: 1790133031
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 3

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