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

Radical Healing Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1710868443

Radical Healing Psychotherapy, 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

5020 NE Martin Luther King Blvd
Portland, OR 97211-3204
Phone: (971) 330-0612
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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 number1710868443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Stephens — Owner · (971) 330-0612
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address15200 Sw Sparrow Loop Unit 102, Beaverton, OR 97007-9358

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