WILD PELORIA, LLC

CLACKAMAS, OR
NPI1033902382
Entity TypeOrganization
Authorized ContactJAMIE WATSON
Clinical Director
512-966-4440
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies1041C0700X Social Worker, Clinical
101YP2500X Counselor, Professional
106H00000X Marriage & Family Therapist
Enumeration Date2025-05-28
Last Update Date2025-10-29
Business Address
WILD PELORIA, LLC
12035 SE GRAND VISTA DR
CLACKAMAS, OR 97015-8272
Phone number: 512-966-4440
Mailing Address
WILD PELORIA, LLC
12035 SE GRAND VISTA DR
CLACKAMAS, OR 97015-8272
Phone number: 512-966-4440