Provider Demographics
NPI:1104177534
Name:PISHCHANSKAYA-CAYANAN, VALENTINA ALEKSANDROVNA
Entity Type:Individual
Prefix:MRS
First Name:VALENTINA
Middle Name:ALEKSANDROVNA
Last Name:PISHCHANSKAYA-CAYANAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:VALENTINA
Other - Middle Name:ALEKSANDROVNA
Other - Last Name:PISHCHANSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:10117 SE SUNNYSIDE RD
Mailing Address - Street 2:STE F #1180
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015
Mailing Address - Country:US
Mailing Address - Phone:503-908-9951
Mailing Address - Fax:
Practice Address - Street 1:2355 STATE STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-908-9951
Practice Address - Fax:971-231-2026
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner