Integrative Trauma Treatment Center, Llc

  • 1417291212 NPI Number
  • |
  • Actived: 7 years ago
  • |
According to our database, NPI number for Integrative Trauma Treatment Center, Llc is 1417291212 and actived since Friday, November 16 2012. Integrative Trauma Treatment Center, Llc is an Organization provider specializes in Clinical. Provider information was last updated on 11/30/2015.

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Overview of Integrative Trauma Treatment Center, Llc

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: Clinical
  • Active since: 11/16/2012
  • Last updated: 11/30/2015

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: L4462
  • License State: OR

Provider Mailing Address

  • Address: 811 Nw 19th Ave Ste 102
    Portland, OR 97209
  • Phone: 971-266-6910
  • Fax: 888-972-3623

Provider Practice Location

  • Address: 811 Nw 19th Ave Ste 102
    Portland, OR 97209
  • Phone: 971-266-6910
  • Fax: 888-972-3623

Authorized Official

  • Name: Athena Phillips LCSW
  • Position/Title: Owner
  • Telephone Number: 503-819-4181

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: L4462
  • License State: OR
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Integrative Trauma Treatment Center, Llc?
  • A: The npi number for Integrative Trauma Treatment Center, Llc is 1417291212.
  • Q: What are Integrative Trauma Treatment Center, Llc's specialties?
  • A: Integrative Trauma Treatment Center, Llc's specialties are Clinical and different specialities.
  • Q: Where is Integrative Trauma Treatment Center, Llc business practice location?
  • A: Integrative Trauma Treatment Center, Llc business practice location is 811 Nw 19th Ave Ste 102, Portland, OR 97209.
  • Q: How to contact Integrative Trauma Treatment Center, Llc?
  • A: You can contact Integrative Trauma Treatment Center, Llc via 971-266-6910.
  • Q: What is the authorized official for Integrative Trauma Treatment Center, Llc?
  • A: The authorized office name is Athena Phillips LCSW with position/title is Owner and you can reach the authorized official via phone number 5038194181.