Organization
BLOSSOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMALIA LABIS (CLINICAL DIRECTOR)
(503) 488-5403
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 301, PORTLAND, OR 97214-2400
(503) 488-5403
Mailing address
1207 SE LINN ST, PORTLAND, OR 97202-7116
(503) 488-5403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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