Organization
PORTLAND HOLISTIC THERAPY LLC
Active
Other names
Portland Holistic Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN V ZAKOVICS MA, LPC (OWNER)
(971) 533-7997
Entity
Organization
Contact information
Practice address
2304 E BURNSIDE ST STE 101, PORTLAND, OR 97214-1689
(971) 533-7997
(971) 339-5253
Mailing address
2304 E BURNSIDE ST STE 101, PORTLAND, OR 97214-1689
(971) 533-7997
(971) 339-5253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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