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Organization

PHOENIX RISING THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARA FREUDENBERG PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(541) 321-0788
Entity
Organization

Contact information

Practice address
4424 NE GLISAN ST STE 22, PORTLAND, OR 97213-2331
(541) 321-0788
(541) 735-9465
Mailing address
4424 NE GLISAN ST STE 22, PORTLAND, OR 97213-2331
(541) 321-0788
(541) 735-9465

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053700559
INDIVIDUAL NPI
05
500757076
OR
Enumeration date
08/14/2020
Last updated
10/31/2025
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