Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Embodied Life Therapy Center LLC

Organization Clinical Social Worker · NPI 1265039564

Embodied Life Therapy Center LLC provides Clinical Social Worker services in Portland, Oregon. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6906 N Richards St
Portland, OR 97203-6138
Phone: (971) 336-0338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1265039564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Dodd — Owner · (971) 266-1081
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address6906 N Richards St, Portland, OR 97203-6138

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