| 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 |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 5597165274 |
|---|---|
| Medicare Enrollment ID | O20210617000798 |
| 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 |
| Provider Name | Delila S Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114112133 PECOS PAC ID: 6507128915 Enrollment ID: I20180323000756 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |