| Grounded Grief Therapy Llc | |
|
3539 N Williams Ave Ste 201 Portland OR 97227-1437 | |
| (202) 599-1913 | |
| Not Available |
| Full Name | Grounded Grief Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3539 N Williams Ave Ste 201, Portland, Oregon |
| Authorized Official Name and Position | Katherine Hatch (OWNER) |
| Authorized Official Contact | 5037085339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded Grief Therapy Llc 42 Ne Tillamook St Unit D Portland OR 97212-3742 Ph: (503) 708-5339 | Grounded Grief Therapy Llc 3539 N Williams Ave Ste 201 Portland OR 97227-1437 Ph: (202) 599-1913 |
| NPI Number | 1417598731 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417598731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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