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Organization
NW CLINICAL COLLECTIVE
Active
Organization
NW CLINICAL COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE LONG LMFT (OWNER/THERAPIST)
(503) 544-9996
Entity
Organization
Contact information
Practice address
4300 NE FREMONT ST STE 260, STE 260, PORTLAND, OR 97213-1100
(503) 544-9996
Mailing address
4300 NE FREMONT ST STE 260, PORTLAND, OR 97213-1100
(503) 544-9996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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