PORTLAND TRAUMA AND DISSOCIATION SPECIALISTS LLC

PORTLAND, OR
NPI1619854148
Entity TypeOrganization
Authorized ContactHEATHER LYNN LAFONTAINE
Co Owner/Provider
971-895-1751
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2025-08-18
Last Update Date2025-08-18
Business Address
PORTLAND TRAUMA AND DISSOCIATION SPECIALISTS LLC
1831 SE 7TH AVE
PORTLAND, OR 97214-3578
Phone number: 971-895-1751
Mailing Address
PORTLAND TRAUMA AND DISSOCIATION SPECIALISTS LLC
PO BOX 14701
PORTLAND, OR 97293-0701
Phone number: 971-895-1751
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