Organization
CULTIVATE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON JOEBGEN LCSW (THERAPIST/OWNER)
(503) 828-3899
Entity
Organization
Contact information
Practice address
3050 SE DIVISION ST STE 210, PORTLAND, OR 97202-1451
(503) 828-3899
Mailing address
PO BOX 86436, PORTLAND, OR 97286-0436
(503) 828-3899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6435
OR
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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