Organization
EMPOWERED LIVING THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLY ALEXANDER PSY.D. (OWNER)
(503) 893-4244
Entity
Organization
Contact information
Practice address
1515 NW 23RD AVE, PORTLAND, OR 97210-2617
(503) 893-4244
Mailing address
1515 NW 23RD AVE, PORTLAND, OR 97210-2617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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