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1457190969
SPROUT THERAPY PDX
PORTLAND, OR
NPI
1457190969
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Entity Type
Organization
Authorized Contact
RACHEL SWEET
Associate Clinician
541-954-6006
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-05-23
Last Update Date
2024-05-23
Business Address
SPROUT THERAPY PDX
7704 N HEREFORD AVE
PORTLAND, OR 97203-3434
Phone number: 971-319-4827
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Mailing Address
SPROUT THERAPY PDX
10204 SW CONESTOGA DR APT 19
BEAVERTON, OR 97008-8419
Phone number: 541-954-6006
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