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Organization

WILD OAK THERAPEUTIC FARM, LLC

Active
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Organization

WILD OAK THERAPEUTIC FARM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE BYERS LPC (OWNER)
(503) 880-2676
Entity
Organization

Contact information

Practice address
29691 SW RIVERWOOD DR, WEST LINN, OR 97068-9440
(503) 880-2676
Mailing address
29691 SW RIVERWOOD DR, WEST LINN, OR 97068-9440
(503) 880-2676

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
01/03/2025
Last updated
01/09/2025
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