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

Eternal Blossom Counseling LLC

Organization Clinical Social Worker · NPI 1104389170

Eternal Blossom Counseling LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019
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

4531 SE Belmont St Ste 310
Portland, OR 97215-1675
Phone: (503) 810-1170
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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 number1104389170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aiyana Lucas — Licensed Clinical Social Worker · (971) 361-6747
NPI enumeratedApril 8, 2019
Last updated in NPPESApril 8, 2019
Mailing address3335 Se 69th Ave, Portland, OR 97206-2613

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