| Adhd Child & Family Services, Llc | |
|
9370 Sw Greenburg Rd Ste 413 Tigard OR 97223-5427 | |
| (971) 302-7374 | |
| Not Available |
| Full Name | Adhd Child & Family Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9370 Sw Greenburg Rd Ste 413, Tigard, Oregon |
| Authorized Official Name and Position | Lara Cannon (OWNER, PRACTIONER) |
| Authorized Official Contact | 9713027374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adhd Child & Family Services, Llc 9370 Sw Greenburg Rd Ste 413 Portland OR 97223-5427 Ph: (971) 302-7374 | Adhd Child & Family Services, Llc 9370 Sw Greenburg Rd Ste 413 Tigard OR 97223-5427 Ph: (971) 302-7374 |
| NPI Number | 1902464654 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902464654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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