Somatic Trauma Healing NW LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOMATIC TRAUMA HEALING NW LLC

Practice address

27275 SE Suttle Rd
Eagle Creek, OR 97022-9795

Phone

(503) 939-8061

NPI assigned

Apr 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Graham

Title

Owner

Phone

(503) 939-8061

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1457934283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SE SUNNYSIDE RD STE F1252",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157708",
            "telephone_number": "503-939-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27275 SE SUTTLE RD",
            "city": "EAGLE CREEK",
            "state": "OR",
            "postal_code": "970229795",
            "telephone_number": "503-939-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC TRAUMA HEALING NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-939-8061"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Crop, L.P.C.
• Bailey Gayken, LMT
• Harty Tilton Kelley
• Beth W. Mantis, LMT
• Heather Lyn Sherman
• Sareta Q White
• Wendy Kay Wilhite, RN, CNOR, RNFA

• Professional Counselor in Eagle Creek, OR
• Providers in Eagle Creek, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.