Organization
CENTER LIGHT STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANGERMEIER (OWNER)
(503) 300-6073
Entity
Organization
Contact information
Practice address
13424 SE 169TH AVE # A120, HAPPY VALLEY, OR 97015-8744
(503) 300-6073
Mailing address
13424 SE 169TH AVE # A120, HAPPY VALLEY, OR 97015-8744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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