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Organization
RADIANT BEING THERAPY LLC
Active
Organization
RADIANT BEING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESHE BOYETTE (OWNER)
(503) 208-5948
Entity
Organization
Contact information
Practice address
7831 SE STARK ST STE 211, PORTLAND, OR 97215-2313
(503) 208-5948
Mailing address
PO BOX 13355, SALEM, OR 97309-1355
(503) 208-5948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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