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Organization
UNDERSTORY PSYCHOTHERAPY
Active
Organization
UNDERSTORY PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY LEWIS REGISTERED ASSOCIATE (OWNER)
(614) 361-3027
Entity
Organization
Contact information
Practice address
5707 NE 12TH AVE, PORTLAND, OR 97211-4217
(614) 361-3027
Mailing address
5707 NE 12TH AVE, PORTLAND, OR 97211-4217
(614) 361-3027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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