| All Tribes Mental Health Services Inc | |
|
221 Nw 2nd Ave Ste 203b Portland OR 97209-3982 | |
| (541) 366-8225 | |
| (877) 775-1788 |
| Full Name | All Tribes Mental Health Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 221 Nw 2nd Ave Ste 203b, Portland, Oregon |
| Authorized Official Name and Position | Elijah Daniel Chitwood (ADMINISTRATOR) |
| Authorized Official Contact | 5412059722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Tribes Mental Health Services Inc 221 Nw 2nd Ave Ste 203b Portland OR 97209-3982 Ph: (541) 366-8225 | All Tribes Mental Health Services Inc 221 Nw 2nd Ave Ste 203b Portland OR 97209-3982 Ph: (541) 366-8225 |
| NPI Number | 1073146353 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073146353 | NPI | - | NPPES |
| 500778289 | Medicaid | OR | |
| 500740695 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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