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Organization
BLACK THERAPIST & COMPANY, LLC
Active
Organization
BLACK THERAPIST & COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE HEMMINGS PH.D., LCSW (OWNER)
(503) 628-9452
Entity
Organization
Contact information
Practice address
10700 SW BEAVERTON HILLSIDALE HWY, BLDG #3, SUITE # 560, BEAVERTON, OR 97005
(503) 628-9452
(503) 356-3087
Mailing address
6107 SW MURRAY BLVD # 310, BEAVERTON, OR 97008-4421
(503) 628-9452
(503) 356-3087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235431214
INDIVIDUAL NPI#
—
Enumeration date
01/15/2022
Last updated
01/15/2022
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