| NPI | 1093346777 |
|---|---|
| Doing Business As | SPROUT THERAPY PDX |
| Entity Type | Organization |
| Authorized Contact | EMELIE ANGELINA DOUGLAS CEO 503-209-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-06-25 |