Organization
SPRING PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE SPRING LPC ASSOCIATE (OWNER)
(610) 764-3142
Entity
Organization
Contact information
Practice address
3533 NE GRAND AVE, PORTLAND, OR 97212-2102
(503) 610-0572
Mailing address
3533 NE GRAND AVE, PORTLAND, OR 97212-2102
(610) 764-3142
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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