Whalio Doctors

NPI 1043814759

Born to Thrive Counseling, LLC

Organisation Community/Behavioral Health Agency Gresham, OR

Practice location

Address
635 SE Juniper CT E, Gresham, OR 97080-7853
Phone
(971) 274-1419

Authorised official

Name
Toni Jacobson
Title
Owner/Operator
Phone
(971) 274-1419

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1043814759
Entity type
Organization
NPI issued
23 Nov 2020
Record last updated
23 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.