Organization
HEALING COLLECTIVE OF PORTLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE ROOT LCSW (OWNER)
(253) 320-9892
Entity
Organization
Contact information
Practice address
2314 NE LOMBARD ST, PORTLAND, OR 97211-5268
(253) 320-9892
Mailing address
2314 NE LOMBARD ST, PORTLAND, OR 97211-5268
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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