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Organization
TRAUMA HEALING NW, LLC
Active
Organization
TRAUMA HEALING NW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNAE NELSON LPC (MEMBER)
(971) 201-1720
Entity
Organization
Contact information
Practice address
4800 MEADOWS RD STE 300, LAKE OSWEGO, OR 97035-5277
(971) 201-1720
Mailing address
4800 MEADOWS RD STE 300, LAKE OSWEGO, OR 97035-5277
(971) 201-1720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4674
OBLPCT
OR
Enumeration date
09/21/2020
Last updated
09/21/2020
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