Organization
HEARTSPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY E RUBIN LMFT (OWNER)
(503) 770-4060
Entity
Organization
Contact information
Practice address
1962 NW KEARNEY ST STE 305, PORTLAND, OR 97209-1459
(503) 770-4060
Mailing address
1962 NW KEARNEY ST STE 305, PORTLAND, OR 97209-1459
(503) 770-4060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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