Basic Information
| Provider Information | |||||||||
| NPI: | 1306359344 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VASILE | ||||||||
| FirstName: | IULIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11945 SW BUTNER RD | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972255809 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES | ||||||||
| Address2: | 8280 NORTHEAST MAUZEY COURT | ||||||||
| City: | HILLSBORO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972820819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5032335405 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2017 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | OR | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.