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Organization

SPROUT THERAPY PDX LLC

Active
Other names
Sprout Therapy PDX
Organization subpart
No

Provider details

NPI number
Authorized official
EMELIE ANGELINA DOUGLAS LPC (CEO)
(503) 209-0914
Entity
Organization

Contact information

Practice address
7704 N HEREFORD AVE, PORTLAND, OR 97203-3434
(971) 319-4827
(503) 662-6220
Mailing address
9133 N ALLEGHENY AVE, PORTLAND, OR 97203-2303
(503) 209-0914
(503) 662-6220

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/30/2020
Last updated
03/12/2026
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