Organization
HOLISTIC MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMARA LOREN STEVENS ND (OWNER)
(503) 897-9711
Entity
Organization
Contact information
Practice address
6110 N LOMBARD ST STE B, PORTLAND, OR 97203-4122
(503) 897-9711
(503) 854-0194
Mailing address
6110 N LOMBARD ST STE B, PORTLAND, OR 97203-4122
(503) 897-9711
(503) 854-0194
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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