1790133031 Modupe Desiree Bansile

Peer Specialist

Active

Basic Information

Full Name
Modupe Desiree Bansile
Gender
Female
Enumeration Date
May 26, 2016
Last Update
October 30, 2018

Practice Location

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

Mailing Address

Address
11073 SE MAIN ST
MILWAUKIE, OR 97222
Phone
(541) 556-9195

Specialties & Taxonomies

Specialty Code Classification License State Primary
Counselor
 101Y00000X Counselor N/A N/A No
Peer Specialist
 175T00000X Peer Specialist THW2156 OR Primary

Other Identifiers

Identifier Type State Issuer
THW2156 05 OR N/A

Additional Practice Locations

445 Port Ave
Saint Helens, OR 970516225

Phone: (541) 556-9195

707 NE Couch St
Portland, OR 972322922

Phone: (503) 542-4603

Fax: (503) 233-6093

209 SW Fourth Ave, Suite 520
Portland, OR 97204

Phone: (541) 556-9195

Frequently Asked Questions

What is Modupe Desiree Bansile's NPI number?
Modupe Desiree Bansile's NPI number is 1790133031.
Which doctor has NPI number 1790133031?
The doctor with NPI number 1790133031 is Modupe Desiree Bansile.
What is Modupe Desiree Bansile's practice address?
Modupe Desiree Bansile's practice address is 209 SW FOURTH AVE, SUITE 520, PORTLAND, OR, 97204.
Which doctor practices at 209 SW FOURTH AVE, SUITE 520, PORTLAND, OR, 97204?
Modupe Desiree Bansile practices at 209 SW FOURTH AVE, SUITE 520, PORTLAND, OR, 97204.
What is Modupe Desiree Bansile's mailing address?
Modupe Desiree Bansile's mailing address is 11073 SE MAIN ST, MILWAUKIE, OR, 97222.
What is Modupe Desiree Bansile's phone number?
Modupe Desiree Bansile's phone number is (541) 556-9195.
Who is (541) 556-9195?
(541) 556-9195 is the phone number for Modupe Desiree Bansile.
What is Modupe Desiree Bansile's specialty?
Modupe Desiree Bansile's specialty is Peer Specialist.
What type of doctor is Modupe Desiree Bansile?
Modupe Desiree Bansile is a Peer Specialist.
Is Modupe Desiree Bansile a Peer Specialist?
Yes, Modupe Desiree Bansile is a Peer Specialist.
Is Modupe Desiree Bansile still practicing?
Yes, Modupe Desiree Bansile is currently practicing.
Is Modupe Desiree Bansile accepting new patients?
Modupe Desiree Bansile may be accepting new patients. Please call their office at (541) 556-9195 to inquire about availability.
Is NPI 1790133031 still active?
Yes, NPI 1790133031 is currently active.
Where does Modupe Desiree Bansile practice?
Modupe Desiree Bansile practices in PORTLAND, OR.
Is Modupe Desiree Bansile a male or female doctor?
Modupe Desiree Bansile is a female doctor.