Rustic Sage LLC
Rustic Sage LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1220 SW Morrison St Ste 730Portland, OR 97205-2226
Phone: (503) 860-1213
Fax: (844) 889-4937
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1861158610 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andre Pruitt — Owner · (503) 860-1213 |
| Other names | Rustic Sage Llc; Rustic Sage Llc |
| NPI enumerated | November 16, 2021 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
| Mailing address | Po Box 4162, Portland, OR 97208-4162 |
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