Provider Demographics
NPI:1558118844
Name:SLIGA, JULIE (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SLIGA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 NE KILLINGSWORTH ST UNIT 112
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97218-1471
Mailing Address - Country:US
Mailing Address - Phone:503-694-9600
Mailing Address - Fax:
Practice Address - Street 1:4417 NE KILLINGSWORTH ST UNIT 112
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97218-1471
Practice Address - Country:US
Practice Address - Phone:503-694-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-07-14
Deactivation Date:2024-05-03
Deactivation Code:
Reactivation Date:2024-06-03
Provider Licenses
StateLicense IDTaxonomies
00109113225C00000X
ORC8453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty