Organization · Type 2 NPI

Sprout Therapy PDX

Mental Health Counselor · Portland, OR

NPI number 1457190969 Active

Practice location

7704 N Hereford Ave
Portland, OR 97203-3434

Mailing address

10204 SW Conestoga Dr Apt 19
Beaverton, OR 97008-8419

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457190969

Sprout Therapy PDX's National Provider Identifier is 1457190969, issued on May 23, 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 May 23, 2024.