Organization
SOMATIC TRAUMA HEALING NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GRAHAM (OWNER)
(503) 939-8061
Entity
Organization
Contact information
Practice address
27275 SE SUTTLE RD, EAGLE CREEK, OR 97022-9795
(503) 939-8061
Mailing address
10117 SE SUNNYSIDE RD STE F1252, CLACKAMAS, OR 97015-7708
(503) 939-8061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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