Somatic Trauma Healing Nw Llc | |
27275 Se Suttle Rd Eagle Creek OR 97022-9795 | |
(503) 939-8061 | |
Not Available |
Full Name | Somatic Trauma Healing Nw Llc |
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Speciality | Counselor - Professional |
Location | 27275 Se Suttle Rd, Eagle Creek, Oregon |
Authorized Official Name and Position | Theresa Graham (OWNER) |
Authorized Official Contact | 5039398061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Somatic Trauma Healing Nw Llc 10117 Se Sunnyside Rd Ste F1252 Clackamas OR 97015-7708 Ph: (503) 939-8061 | Somatic Trauma Healing Nw Llc 27275 Se Suttle Rd Eagle Creek OR 97022-9795 Ph: (503) 939-8061 |
NPI Number | 1457934283 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Certification Date | 04/29/2021 |
Identifier | Type | State | Issuer |
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1457934283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |