| Heartspace Therapy Llc | |
|
1962 Nw Kearney St Ste 305 Portland OR 97209-1459 | |
| (503) 770-4060 | |
| Not Available |
| Full Name | Heartspace Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1962 Nw Kearney St Ste 305, Portland, Oregon |
| Authorized Official Name and Position | Carly E Rubin (OWNER) |
| Authorized Official Contact | 5037704060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartspace Therapy Llc 1962 Nw Kearney St Ste 305 Portland OR 97209-1459 Ph: (503) 770-4060 | Heartspace Therapy Llc 1962 Nw Kearney St Ste 305 Portland OR 97209-1459 Ph: (503) 770-4060 |
| NPI Number | 1740095868 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740095868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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