Provider Demographics
NPI:1598960486
Name:BESIC, ALMA (MSW)
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:
Last Name:BESIC
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13111 SE MORRISON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-1642
Mailing Address - Country:US
Mailing Address - Phone:503-737-4090
Mailing Address - Fax:
Practice Address - Street 1:3633 SE 35TH PL
Practice Address - Street 2:OHSU INTERCULTURAL PSYCHIATRIC PROGRAM UHN 88
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3370
Practice Address - Country:US
Practice Address - Phone:503-494-1271
Practice Address - Fax:503-494-6143
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORA4103104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health