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NPI Code Detail

MEDICARE: CHRISTINE TERESA YOSHIDA LMHC, LPC

MEDICARE: CHRISTINE TERESA YOSHIDA LMHC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC5356OR
2101YM0800XMental Health Counselor60844876WA

General Provider Information

NPI Number : 1720643851
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE TERESA YOSHIDA LMHC, LPC
Provider Business Mailing Address
First Line : 9220 SW BARBUR BLVD
Second Line : 119-220
City : PORTLAND
State : OR
Zip : 97219-5428
Country : US
Telephone Number : 360-798-8334
Fax Number : 803-859-4409
Provider Business Practice Location Address
First Line : 3407 S CORBETT AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97239-4621
Country : US
Telephone Number : 360-798-8334
Fax Number : 803-859-4409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2019
Last Update Date : 05/27/2026

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