Organization
MINDFUL ALCHEMY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ALBINO (MANAGER)
(971) 330-1382
Entity
Organization
Contact information
Practice address
12968 SE 129TH CT, HAPPY VALLEY, OR 97086-4335
(971) 330-1382
Mailing address
12968 SE 129TH CT, HAPPY VALLEY, OR 97086-4335
(971) 330-1382
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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