Provider Demographics
NPI:1285440867
Name:FEINSTEIN, AUBRIEL ROSE (MA)
Entity type:Individual
Prefix:
First Name:AUBRIEL
Middle Name:ROSE
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:AUBRIEL
Other - Middle Name:ROSE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4423 SE 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-4011
Mailing Address - Country:US
Mailing Address - Phone:971-420-6209
Mailing Address - Fax:
Practice Address - Street 1:649 NE HOOD AVE
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7328
Practice Address - Country:US
Practice Address - Phone:971-404-4668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR10345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist