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Organization

ONTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FINLEY A ROSE LMFT, LPC, MA, MS (OWNER/THERAPIST)
(971) 203-2043
Entity
Organization

Contact information

Practice address
5 SE M L KING BLVD, PORTLAND, OR 97214-1161
(318) 419-4900
Mailing address
5 SE M L KING BLVD APT 818, PORTLAND, OR 97214-1193
(318) 419-4900

Taxonomy

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

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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