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

Eternal Blossom Counseling LLC

Organization Clinical Social Worker · NPI 1104389170

Eternal Blossom Counseling LLC provides Clinical Social Worker services in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019
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

4531 SE Belmont St Ste 310
Portland, OR 97215-1675
Phone: (503) 810-1170
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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 number1104389170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aiyana Lucas — Licensed Clinical Social Worker · (971) 361-6747
NPI enumeratedApril 8, 2019
Last updated in NPPESApril 8, 2019
Mailing address3335 Se 69th Ave, Portland, OR 97206-2613

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