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Organization
EVERGREEN COUNSELING LLC
Active
Organization
EVERGREEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN A KILEY LPC (OWNER)
(503) 334-9414
Entity
Organization
Contact information
Practice address
937 NE TILLAMOOK ST, PORTLAND, OR 97212-4059
(503) 334-9414
(844) 222-4353
Mailing address
937 NE TILLAMOOK ST, PORTLAND, OR 97212-4059
(503) 334-9414
(844) 222-4353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
TAXONOMY CODE
—
05
—
500701824
—
OR
01
—
C6961
LPC
OR
01
—
MHC.LH.60910450
LMHC
WA
Enumeration date
08/19/2024
Last updated
08/19/2024
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