| Radiant Being Therapy Llc | |
|
7831 Se Stark St Ste 211 Portland OR 97215-2313 | |
| (503) 208-5948 | |
| Not Available |
| Full Name | Radiant Being Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7831 Se Stark St Ste 211, Portland, Oregon |
| Authorized Official Name and Position | Eshe Boyette (OWNER) |
| Authorized Official Contact | 5032085948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Being Therapy Llc Po Box 13355 Salem OR 97309-1355 Ph: (503) 208-5948 | Radiant Being Therapy Llc 7831 Se Stark St Ste 211 Portland OR 97215-2313 Ph: (503) 208-5948 |
| NPI Number | 1417774225 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417774225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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