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Organization
ILEAP
Active
Organization
ILEAP
Active
Parent organization
OASIS OF PRAISE INTERNATIONAL MINISTRIES
Other names
ILEAP
Organization subpart
Yes
Provider details
NPI number
Legal business name
OASIS OF PRAISE INTERNATIONAL MINISTRIES
Authorized official
EDMOND WILLIAMS LCSW (BOARD MEMBER)
(503) 235-2127
Entity
Organization
Contact information
Practice address
1821 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-5215
(503) 235-2127
Mailing address
PO BOX 86550, PORTLAND, OR 97286-0550
(503) 235-2127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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