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

Portland Trauma and Dissociation Specialists LLC

Organization Clinical Social Worker · NPI 1619854148

Portland Trauma and Dissociation Specialists LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
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

1831 SE 7th Ave
Portland, OR 97214-3578
Phone: (971) 895-1751
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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 number1619854148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Lafontaine — Co-Owner/Provider · (971) 895-1751
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing addressPo Box 14701, Portland, OR 97293-0701

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