Organization
RUGGED HEART COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAWYER RYAN SALAMEH LPC (OWNER)
(907) 299-8733
Entity
Organization
Contact information
Practice address
2026 N FARRAGUT ST, PORTLAND, OR 97217-6421
(971) 318-0755
Mailing address
2026 N FARRAGUT ST, PORTLAND, OR 97217-6421
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712857
—
OR
Enumeration date
03/06/2021
Last updated
03/06/2021
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