RESTORE THERAPY LLC
Ambulatory Health in Portland, OR

License number
Oregon L5795
Category
Social Work
Type
Clinical
License number
Oregon L5795
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: RUTH EXLEY LCSW
Title: OWNER
Phone: (503) 376-7114
Address
Address
2931 NE BROADWAY, Portland, OR 97232
National Provider ID: 1982075636
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RESTORE THERAPY LLC at bizstanding.com

RESTORE THERAPY LLC

2931 NE Broadway, Portland, OR 97232

Registration:
May 22, 2014
State ID:
102202199
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Ruth Gilliamexley,2931 NE Broadway, Portland, OR 97232 (Physical)

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