Organization
IMAGINATIVE HEALING COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN RYAN LPC, MS, MBA (OWNER/COUNSELOR)
(503) 939-9447
Entity
Organization
Contact information
Practice address
28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218
(503) 939-9447
Mailing address
29385 SW TETON WAY, WILSONVILLE, OR 97070-8501
(503) 939-9447
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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