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Organization

FULL CIRCLE ECOTHERAPY AND FAMILY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ORIANA KOROL LCSW (OWNER/THERAPY)
(971) 350-9205
Entity
Organization

Contact information

Practice address
9201 SE FOSTER RD STE 202, PORTLAND, OR 97266-4644
(971) 350-9205
(866) 541-2731
Mailing address
7412 SE HAROLD ST, PORTLAND, OR 97206-5230
(971) 350-9205
(866) 541-2731

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500782081
OR
Enumeration date
05/23/2024
Last updated
05/23/2024
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