Organization
CREATIVE THRIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA NICOLE SEARLES CNS (OWNER)
(765) 894-1684
Entity
Organization
Contact information
Practice address
1327 SE TACOMA ST # 105, PORTLAND, OR 97202-6639
(971) 200-5226
(866) 480-3345
Mailing address
1327 SE TACOMA ST # 105, PORTLAND, OR 97202-6639
(971) 200-5226
(866) 480-3345
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
06/12/2023
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