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

Integrative Trauma Treatment Center, LLC

Organization Clinical Social Worker · NPI 1417291212

Integrative Trauma Treatment Center, LLC provides Clinical Social Worker services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
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

811 NW 19th Ave Ste 102
Portland, OR 97209-1401 Not confirmed with CMS for 10 years — call before visiting
Phone: (971) 266-6910
Fax: (888) 972-3623
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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 · Licence L4462 (OR)

Record details

NPI number1417291212
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegrative Trauma Treatment Center
Authorized official Athena Phillips — Owner · (503) 819-4181
Other names Vancouver Integrative Counseling
NPI enumeratedNovember 16, 2012
Last updated in NPPESNovember 30, 2015
Mailing address811 Nw 19th Ave Ste 102, Portland, OR 97209-1401

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