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Organization
SAPPHIRE BLUE BEHAVIORAL HEALTH SOLUTIONS
Active
Organization
SAPPHIRE BLUE BEHAVIORAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A. NICOLE LA VERNE PSYD, LPC, MAC, CADC (CEO)
(503) 726-5216
Entity
Organization
Contact information
Practice address
5285 MEADOWS RD STE 170, LAKE OSWEGO, OR 97035-3478
(503) 276-5216
Mailing address
5285 MEADOWS RD STE 170, LAKE OSWEGO, OR 97035-3478
(503) 276-5216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
01/08/2024
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