The Creative Wellness Studio
The Creative Wellness Studio provides Mental Health Counselor services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
833 SE Main St # 405Portland, OR 97214-3454 Not confirmed with CMS for 11 years — call before visiting
Phone: (971) 645-4499
Fax: (971) 645-4820
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence A3606 (OR) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence C3680 (OR) |
Record details
| NPI number | 1134502990 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hallory Mogren — Therapist/Partner · (971) 645-4499 |
| Other names | Autopoietica: The Creative Wellness Studio |
| NPI enumerated | June 29, 2015 |
| Last updated in NPPES | June 29, 2015 |
| Mailing address | 833 Se Main St, Department 210, Portland, OR 97214-3454 |
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