| 360 Counseling Services | |
|
12005 Sw 70th Ave Tigard OR 97223-9634 | |
| (503) 467-9794 | |
| Not Available |
| Full Name | 360 Counseling Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12005 Sw 70th Ave, Tigard, Oregon |
| Authorized Official Name and Position | Richard Powell (OWNER) |
| Authorized Official Contact | 5034679794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Counseling Services 12005 Sw 70th Tigard OR 97223 Ph: (503) 467-9794 | 360 Counseling Services 12005 Sw 70th Ave Tigard OR 97223-9634 Ph: (503) 467-9794 |
| NPI Number | 1780135277 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780135277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 677013 (Oregon) | Primary |
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