Organization
ELEVATED HEARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER HICKS (CEO)
(458) 236-3234
Entity
Organization
Contact information
Practice address
4145 SW WATSON AVE STE 358, BEAVERTON, OR 97005-2132
(458) 236-3234
Mailing address
4145 SW WATSON AVE STE 358, BEAVERTON, OR 97005-2132
(458) 236-3234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
06/18/2024
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