Organization
PEACEFUL WARRIOR WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RUIZ BETTENCOURT LPCA (OWNER)
(503) 650-0680
Entity
Organization
Contact information
Practice address
11630 SE 40TH AVE STE A, MILWAUKIE, OR 97222-6195
(503) 650-0680
Mailing address
11630 SE 40TH AVE STE A, MILWAUKIE, OR 97222-6195
(503) 650-0680
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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