Organization
GREEN SHEEP ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LEE WOOD COUNSELOR ASSOCIATE (REG COUNSELOR ASSOCIATE/OWNER)
(971) 270-0535
Entity
Organization
Contact information
Practice address
2808 NE MARTIN LUTHER KING BLVD STE M, PORTLAND, OR 97212-3061
(971) 270-0535
(971) 369-9809
Mailing address
2808 NE MARTIN LUTHER KING BLVD STE M, PORTLAND, OR 97212-3061
(971) 270-0535
(971) 369-9809
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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