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Organization

WHOLE LIFE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN BURKE-SIVERS LPC (OWNER)
(503) 250-3123
Entity
Organization

Contact information

Practice address
1744 NE 42ND AVE STE A, PORTLAND, OR 97213-1537
(503) 250-3123
(541) 631-2602
Mailing address
1744 NE 42ND AVE STE A, PORTLAND, OR 97213-1537
(503) 250-3123
(541) 631-2602

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4272
OR

Other

Enumeration date
01/13/2017
Last updated
01/13/2017
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