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

Integrative Trauma Treatment Center, LLC

Organization Clinical Social Worker · NPI 1417291212

Integrative Trauma Treatment Center, LLC is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
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

811 NW 19th Ave Ste 102
Portland, OR 97209-1401
Phone: (971) 266-6910
Fax: (888) 972-3623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L4462 (OR)

Record details

NPI number1417291212
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegrative Trauma Treatment Center
Authorized official Athena Phillips — Owner · (503) 819-4181
Other names Vancouver Integrative Counseling
NPI enumeratedNovember 16, 2012
Last updated in NPPESNovember 30, 2015
Mailing address811 Nw 19th Ave Ste 102, Portland, OR 97209-1401

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