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1922772011
EMBARK COUNSELING NW, LLC
PORTLAND, OR
NPI
1922772011
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Entity Type
Organization
Authorized Contact
GRACE JADE HAMILTON
Owner
503-422-7215
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
EMBARK COUNSELING NW, LLC
15220 NW LAIDLAW RD STE 240
PORTLAND, OR 97229-7718
Phone number: 503-422-7215
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Mailing Address
EMBARK COUNSELING NW, LLC
PO BOX 17558
PORTLAND, OR 97217-0558
Phone number: 503-422-7215
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