Provider Demographics
NPI:1073080495
Name:ZBIB, CYRENA
Entity Type:Individual
Prefix:
First Name:CYRENA
Middle Name:
Last Name:ZBIB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOOR
Other - Middle Name:
Other - Last Name:AL-TAHRIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2031 SE BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2812
Mailing Address - Country:US
Mailing Address - Phone:503-907-6132
Mailing Address - Fax:
Practice Address - Street 1:2031 SE BELMONT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2812
Practice Address - Country:US
Practice Address - Phone:503-907-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health