| Healingspaces4u Llc | |
|
2951 Nw Division St Ste 101 Gresham OR 97030-5292 | |
| (503) 688-3802 | |
| (888) 887-8669 |
| Full Name | Healingspaces4u Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2951 Nw Division St Ste 101, Gresham, Oregon |
| Authorized Official Name and Position | Sarita Eugenia Trawick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5036883802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healingspaces4u Llc 10350 N Vancouver Way Portland OR 97217-7530 Ph: (503) 688-3802 | Healingspaces4u Llc 2951 Nw Division St Ste 101 Gresham OR 97030-5292 Ph: (503) 688-3802 |
| NPI Number | 1215587126 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215587126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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