BALANCE FOR HEALTHY LIVING, PC
Social Work at Hancock St, Portland, OR

License number
Oregon C1780
Category
Social Work
Type
Counselor
License number
Oregon 02-11-44
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Oregon C1780
Category
Mental Health
Type
Mental Health
License number
Oregon C1780
Category
Social Work
Type
Professional
Owner
Name: TIRZAH D. JACOB MA, LPC, CADC-I
Title: BUSINESS OWNER & PRESIDENT
Phone: (503) 407-9232
Address
Address
3939 NE Hancock St SUITE 115, Portland, OR 97212
National Provider ID: 1265740096
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BALANCE FOR HEALTHY LIVING, PC

Portland, OR  -  Interlachen, OR

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Aug 24, 2010
Addresses:
3315 NE 56 Ave, Portland, OR 97213 (Mailing)
3939 NE Hancock SUITE 115, Portland, OR 97212 (Physical)
1450 NE Vlg St, Interlachen, OR 97024
State ID:
70998993
Business type:
Domestic Professional Corporation
Presidents:
Jacob D. Tirzah (Principal),Tirzah Jacob (President)
Agent:
Tirzah Jacob,3315 NE 56 Ave, Portland, OR 97213 (Physical)

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