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Organization

TENACIOUS RESILIENCE MENTAL WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY J LAFOLETTE PMHNP (OWNER/CEO)
(503) 389-5366
Entity
Organization

Contact information

Practice address
6214 SE MILWAUKIE AVE, PORTLAND, OR 97202-5417
(503) 389-5366
(866) 635-1779
Mailing address
PO BOX 66722, PORTLAND, OR 97290-6722
(503) 389-5366

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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