Organization
HOLISTIC & INTEGRATIVE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SUDANO (OWNER)
(503) 893-4830
Entity
Organization
Contact information
Practice address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
(541) 936-9783
Mailing address
5525 E BURNSIDE ST, PORTLAND, OR 97215-1258
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
07/25/2025
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