Organization
HEARTFUL PATH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J WORKMAN-PURVINE (OWNER)
(503) 928-7491
Entity
Organization
Contact information
Practice address
7334 N CHICAGO AVE, PORTLAND, OR 97203-4869
(503) 928-7491
Mailing address
7334 N CHICAGO AVE, PORTLAND, OR 97203-4869
(503) 928-7491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5170
OR
Other
Enumeration date
06/27/2013
Last updated
06/05/2020
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