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Organization

NORTHWEST CREATIVE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE ELLEN JONES LPC, ATR-BC (PRINCIPAL OFFICER)
(503) 333-5535
Entity
Organization

Contact information

Practice address
1744 NE 42ND AVE, SUITE A, PORTLAND, OR 97213-1537
(503) 333-5535
Mailing address
1744 NE 42ND AVE, SUITE A, PORTLAND, OR 97213-1537
(503) 333-5535

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C4168
OR

Other

Enumeration date
06/28/2016
Last updated
06/28/2016
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