Healthcare Provider Details

I. General information

NPI: 1720643851
Provider Name (Legal Business Name): CHRISTINE TERESA YOSHIDA LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3407 S CORBETT AVE
PORTLAND OR
97239-4621
US

IV. Provider business mailing address

9220 SW BARBUR BLVD 119-220
PORTLAND OR
97219-5428
US

V. Phone/Fax

Practice location:
  • Phone: 360-798-8334
  • Fax: 803-859-4409
Mailing address:
  • Phone: 360-798-8334
  • Fax: 803-859-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC5356
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60844876
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: