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

Radical Healing Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1710868443

Radical Healing Psychotherapy, LLC provides Clinical Social Worker services in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
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

5020 NE Martin Luther King Blvd
Portland, OR 97211-3204
Phone: (971) 330-0612
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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 number1710868443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Stephens — Owner · (971) 330-0612
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address15200 Sw Sparrow Loop Unit 102, Beaverton, OR 97007-9358

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