| Breaking Through Barriers Llc | |
|
329 Ne Couch St Portland OR 97232-1332 | |
| (503) 453-0869 | |
| Not Available |
| Full Name | Breaking Through Barriers Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 329 Ne Couch St, Portland, Oregon |
| Authorized Official Name and Position | Rai Carvalho (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5034530869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Through Barriers Llc 2705 E. Burnside St. Suite 206, Portland Or, 97214 Pmb 10 Portland OR 97214 Ph: (503) 381-3437 | Breaking Through Barriers Llc 329 Ne Couch St Portland OR 97232-1332 Ph: (503) 453-0869 |
| NPI Number | 1851128615 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851128615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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