# BEYOND THE SELF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396340550
- **Authorized official:** ANETA BUJNO LCSW, RN (OWNER)
- **Authorized official phone:** (503) 862-8238

## Contact information

- **Practice address:** 5305 RIVER RD N STE B, KEIZER, OR 97303-5324
- **Practice address phone:** (503) 862-8238
- **Mailing address:** 304 NE MULTNOMAH ST APT 510, PORTLAND, OR 97232-3615
- **Mailing address phone:** (503) 862-8238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 12/03/2020