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Organization
BEYOND THE SELF, LLC
Active
Organization
BEYOND THE SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANETA BUJNO LCSW, RN (OWNER)
(503) 862-8238
Entity
Organization
Contact information
Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(503) 862-8238
Mailing address
304 NE MULTNOMAH ST APT 510, PORTLAND, OR 97232-3615
(503) 862-8238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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