Organization
WILDFLOWER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLA BEAN JUTZI SHAW LPC (MANAGER)
(971) 385-4702
Entity
Organization
Contact information
Practice address
917 SW OAK ST STE 417, PORTLAND, OR 97205-2807
(971) 385-4702
(971) 328-4653
Mailing address
917 SW OAK ST STE 417, PORTLAND, OR 97205-2807
(971) 385-4702
(971) 328-4653
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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