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Organization

SIDEWALK BLOOMING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATELIN WESTFALL LCSW (OWNER)
(503) 427-8135
Entity
Organization

Contact information

Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(503) 427-8135
Mailing address
4207 SE WOODSTOCK BLVD # 241, PORTLAND, OR 97206-6267

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500317296
OR
Enumeration date
02/13/2023
Last updated
04/28/2026
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