| Somatic Trauma Healing Nw Llc | |
|
27275 Se Suttle Rd Eagle Creek OR 97022-9795 | |
| (503) 939-8061 | |
| Not Available |
| Full Name | Somatic Trauma Healing Nw Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 27275 Se Suttle Rd, Eagle Creek, Oregon |
| Authorized Official Name and Position | Theresa Graham (OWNER) |
| Authorized Official Contact | 5039398061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somatic Trauma Healing Nw Llc 10117 Se Sunnyside Rd Ste F1252 Clackamas OR 97015-7708 Ph: (503) 939-8061 | Somatic Trauma Healing Nw Llc 27275 Se Suttle Rd Eagle Creek OR 97022-9795 Ph: (503) 939-8061 |
| NPI Number | 1457934283 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457934283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |