Organization · Type 2 NPI

Black Swan Healing LLC

Mental Health Counselor · Portland, OR

NPI number 1023849882 Active

Practice location

5441 S Macadam Ave Ste N
Portland, OR 97239-6106

Fax (971) 202-9584

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023849882

Black Swan Healing LLC's National Provider Identifier is 1023849882, issued on Aug 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 3, 2025.