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Organization
RAE OF LIGHT THERAPY LLC
Active
Organization
RAE OF LIGHT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWELL DONTE EWELL (CEO)
(503) 332-4520
Entity
Organization
Contact information
Practice address
4145 SW WATSON CENTRAL BEAVERTON, SUITE 350, BEAVERTON, OR 97005
(503) 332-4520
Mailing address
4145 SW WATSON CENTRAL BEAVERTON, SUITE 350, BEAVERTON, OR 97005
(503) 332-4520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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