Organization · Type 2 NPI
Portland Holistic Therapy LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1003742842
Active
Practice location
2304 E Burnside St Ste 101
Portland, OR 97214-1689
Fax (971) 339-5253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
2 other providers at this address
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- Tim A. Perez, LLCMental Health Clinic/Center (Including Community Mental Health Center) Portland, OR NPI 1053777235
About NPI 1003742842
Portland Holistic Therapy LLC's National Provider Identifier is 1003742842, issued on Jun 19, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Jun 19, 2026.