Radicle Origins, LLC

NPI #1235967530 in Beaverton, Oregon

Provider Information

NPI Number
1235967530
Entity Type
Organization
Organization Name
Radicle Origins, LLC
Primary Specialty
Counselor - Professional
Enumeration Date
Jul 26, 2024
Last Updated
Jul 26, 2024

Practice Location

Address
10700 SW BEAVERTON HILLSDALE HWY STE 560
State
Oregon
ZIP Code
97005-4791
Phone
(626) 565-2816

Authorized Official

Name
ALEXANDER HAYDEN, LPC
Title
OWNER
Phone
(626) 565-2816

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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