Organization
EMBARK COUNSELING NW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE JADE HAMILTON LPC (OWNER)
(503) 422-7215
Entity
Organization
Contact information
Practice address
15220 NW LAIDLAW RD STE 240, PORTLAND, OR 97229-7718
(503) 422-7215
(971) 339-8491
Mailing address
PO BOX 17558, PORTLAND, OR 97217-0558
(503) 422-7215
(971) 339-8491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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