| Imaginative Healing Collective | |
|
28925 Sw Boberg Rd Wilsonville OR 97070-8218 | |
| (503) 939-9447 | |
| Not Available |
| Full Name | Imaginative Healing Collective |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 28925 Sw Boberg Rd, Wilsonville, Oregon |
| Authorized Official Name and Position | Carmen Ryan (OWNER/COUNSELOR) |
| Authorized Official Contact | 5039399447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imaginative Healing Collective 29385 Sw Teton Way Wilsonville OR 97070-8501 Ph: (503) 939-9447 | Imaginative Healing Collective 28925 Sw Boberg Rd Wilsonville OR 97070-8218 Ph: (503) 939-9447 |
| NPI Number | 1609731835 |
|---|---|
| Provider Enumeration Date | 12/19/2025 |
| Last Update Date | 12/19/2025 |
| Certification Date | 12/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609731835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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