CERULEAN BLUE THERAPY, LLC

PORTLAND, OR
NPI1104516459
Entity TypeOrganization
Authorized ContactKATHARINE ELIZABETH FAZAL
Owner
503-702-0554
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2023-05-10
Last Update Date2023-05-10
Business Address
CERULEAN BLUE THERAPY, LLC
900 NW LOVEJOY ST APT 515
PORTLAND, OR 97209-3474
Phone number: 503-702-0554
Mailing Address
CERULEAN BLUE THERAPY, LLC
900 NW LOVEJOY ST APT 515
PORTLAND, OR 97209-3474
Phone number: 503-702-0554
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