Organization
LIVING TREE WELLNESS CENTER, LLC
Active
Organization
LIVING TREE WELLNESS CENTER, LLC
Active
Other names
Living Tree Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENA LAURA-JOANN JOHNSON LCSW (OWNER/CLINICIAN)
(503) 567-2894
Entity
Organization
Contact information
Practice address
2855 E HAYES ST STE 205, NEWBERG, OR 97132-1390
(503) 431-0063
(503) 554-1848
Mailing address
901 BRUTSCHER ST STE D PMB 150, NEWBERG, OR 97132
(503) 567-2894
(503) 388-3581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437409414
—
OR
Enumeration date
07/28/2022
Last updated
07/16/2026
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