Healthcare Provider Details

I. General information

NPI: 1902324122
Provider Name (Legal Business Name): SENUA COUNSELING CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 MEADOWS RD STE 405
LAKE OSWEGO OR
97035-4291
US

IV. Provider business mailing address

5005 MEADOWS RD STE 405
LAKE OSWEGO OR
97035-4291
US

V. Phone/Fax

Practice location:
  • Phone: 971-232-1120
  • Fax: 855-750-2962
Mailing address:
  • Phone: 503-724-7652
  • Fax: 855-750-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRIS COLLINS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 503-724-7652