Organization
FULL SPECTRUM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM SKYE LPC (OWNER)
(503) 765-5733
Entity
Organization
Contact information
Practice address
1219 SE LAFAYETTE ST, PORTLAND, OR 97202-3802
(503) 765-5733
(971) 244-8583
Mailing address
1219 SE LAFAYETTE ST, PORTLAND, OR 97202-3802
(503) 765-5733
(971) 244-8583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
09/18/2025
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