| 4d Mental Health Services | |
|
11010 Se Division St Ste 200 Portland OR 97266-6400 | |
| (971) 703-4623 | |
| Not Available |
| Full Name | 4d Mental Health Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 11010 Se Division St Ste 200, Portland, Oregon |
| Authorized Official Name and Position | Nicholas Mathias Thomas Crapser (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9714420044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4d Mental Health Services 11010 Se Division St Ste 200 Portland OR 97266-6400 Ph: (971) 703-4623 | 4d Mental Health Services 11010 Se Division St Ste 200 Portland OR 97266-6400 Ph: (971) 703-4623 |
| NPI Number | 1336997188 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336997188 | NPI | - | NPPES |
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