Organization
RADICAL HEALING PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN STEPHENS LCSW (OWNER)
(971) 330-0612
Entity
Organization
Contact information
Practice address
5020 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97211-3204
(971) 330-0612
Mailing address
15200 SW SPARROW LOOP UNIT 102, BEAVERTON, OR 97007-9358
(971) 330-0612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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