360 Counseling Services | |
12005 Sw 70th Tigard OR 97223 | |
(503) 467-9794 | |
Not Available |
Full Name | 360 Counseling Services |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 12005 Sw 70th, 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 Ave Tigard OR 97223-9634 Ph: (503) 467-9794 | 360 Counseling Services 12005 Sw 70th Tigard OR 97223 Ph: (503) 467-9794 |
NPI Number | 1912455130 |
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Provider Enumeration Date | 09/16/2016 |
Last Update Date | 09/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912455130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 677013 (Oregon) | Primary |
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