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Organization
SPROUT THERAPY PDX
Active
Organization
SPROUT THERAPY PDX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SWEET (ASSOCIATE CLINICIAN)
(541) 954-6006
Entity
Organization
Contact information
Practice address
7704 N HEREFORD AVE, PORTLAND, OR 97203-3434
(971) 319-4827
Mailing address
10204 SW CONESTOGA DR APT 19, BEAVERTON, OR 97008-8419
(541) 954-6006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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