Awakening Your Authenticity Llc | |
722 N Sumner St Portland OR 97217-2641 | |
(737) 999-0744 | |
Not Available |
Full Name | Awakening Your Authenticity Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 722 N Sumner St, Portland, Oregon |
Authorized Official Name and Position | Anna Claybaugh (OWNER, PRESIDENT) |
Authorized Official Contact | 6025617078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Awakening Your Authenticity Llc 4714 Nw 135th St Vancouver WA 98685-1566 Ph: (602) 561-7078 | Awakening Your Authenticity Llc 722 N Sumner St Portland OR 97217-2641 Ph: (737) 999-0744 |
NPI Number | 1114754256 |
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Provider Enumeration Date | 09/13/2024 |
Last Update Date | 09/13/2024 |
Certification Date | 09/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114754256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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