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1134991524
MINDFUL THERAPY PDX PC
PORTLAND, OR
NPI
1134991524
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Entity Type
Organization
Authorized Contact
RONALD L JOHNSON
President
503-734-0552
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-10-27
Last Update Date
2023-11-06
Business Address
MINDFUL THERAPY PDX PC
423 NE 60TH AVE
PORTLAND, OR 97213-3725
Phone number: 503-734-0552
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Mailing Address
MINDFUL THERAPY PDX PC
636 N LOMBARD ST
PORTLAND, OR 97217-1576
Phone number: 503-734-0552
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