Organization
HART NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CORP LPC (OWNER)
(503) 680-6613
Entity
Organization
Contact information
Practice address
7050 CHILDS RD, LAKE OSWEGO, OR 97035-7817
(503) 680-6613
Mailing address
7050 CHILDS RD, LAKE OSWEGO, OR 97035-7817
(503) 680-6613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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