Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 35 days before observation
Type 2 organization · NPI 1003742842
PORTLAND HOLISTIC THERAPY LLC
261QM0801X · PORTLAND, OR
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QM0801X | 261QM0801X | Primary |
| 101YM0800X | 101YM0800X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s