Organization
POLLY GRAVELY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY GRAVELY LPC, MFT (PROFESSIONAL COUNSELOR)
(503) 310-7472
Entity
Organization
Contact information
Practice address
5319 SW WESTGATE DR STE 246, PORTLAND, OR 97221-2434
(503) 310-7472
Mailing address
4028 SW 53RD PL, PORTLAND, OR 97221-2015
(503) 310-7472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
08/15/2025
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