Organization
UPLIFTING JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESPOIR NTEZEYOMBI (CEO)
(623) 299-1254
Entity
Organization
Contact information
Practice address
421 N BROADWAY, PORTLAND, OR 97227-1803
(781) 354-8094
Mailing address
319 SE 162ND AVE, PORTLAND, OR 97233-3807
(623) 299-1254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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