Radicle Origins, Llc

LBN: Radicle Origins, Llc
Radicle Origins, Llc is an health care organization with primary practice located at 10700 Sw Beaverton Hillsdale Hwy Ste 560 , Beaverton OR 97005-4791. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Radicle Origins, Llc can be contacted via phone (626) 565-2816, or through Hayden, Alexander via phone (626) 565-2816.

Contact Information

Primary practice address
10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791
Phone: (626) 565-2816
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hayden, Alexander Licensed Professional Counselor (LPC)
Phone: (626) 565-2816

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1235967530
LBN Legal business name Radicle Origins, Llc
DBA Doing business as
Authorized official Hayden, Alexander Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2024
Last updated Jul 26th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers