Organization
GLASS HALF MINDFUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS J RADIE LPC (LICENSED PROFESSIONAL COUNSELOR)
(971) 270-0308
Entity
Organization
Contact information
Practice address
6600 SE TAGGART ST, PORTLAND, OR 97206-1259
(971) 270-0308
Mailing address
6600 SE TAGGART ST, PORTLAND, OR 97206-1259
(971) 270-0308
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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