Loretta Seibert

NPI #1194927319 in Portland, Oregon

Provider Information

NPI Number: 1194927319
Entity Type: Individual
Name: Loretta Seibert
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3415 SE POWELL BLVD
City: Portland
State: Oregon
ZIP Code: 97202-3371
Phone: (503) 234-9591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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