| Birchwood Counseling, Llc | |
|
825 Ne 20th Ave Ste 225 Portland OR 97232-2299 | |
| (503) 433-6016 | |
| (971) 229-4723 |
| Full Name | Birchwood Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 825 Ne 20th Ave Ste 225, Portland, Oregon |
| Authorized Official Name and Position | Catherine Jean Bice (PRACTICE CO OWNER) |
| Authorized Official Contact | 5034336016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Counseling, Llc 825 Ne 20th Ave Ste 225 Portland OR 97232-2299 Ph: (503) 433-6016 | Birchwood Counseling, Llc 825 Ne 20th Ave Ste 225 Portland OR 97232-2299 Ph: (503) 433-6016 |
| NPI Number | 1235548496 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235548496 | NPI | - | NPPES |
| 500623184 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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