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Organization

BEYOND THE SELF, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANETA BUJNO LCSW, RN (OWNER)
(503) 862-8238
Entity
Organization

Contact information

Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(503) 862-8238
Mailing address
304 NE MULTNOMAH ST APT 510, PORTLAND, OR 97232-3615
(503) 862-8238

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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