| Cathedral Park Counseling Llc | |
|
7319 N John Ave Ste 101 Portland OR 97203-4890 | |
| (503) 841-1131 | |
| Not Available |
| Full Name | Cathedral Park Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7319 N John Ave Ste 101, Portland, Oregon |
| Authorized Official Name and Position | Caroline Rose (OWNER) |
| Authorized Official Contact | 5038411311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathedral Park Counseling Llc 8913 N Seneca St Portland OR 97203-2232 Ph: (503) 841-1311 | Cathedral Park Counseling Llc 7319 N John Ave Ste 101 Portland OR 97203-4890 Ph: (503) 841-1131 |
| NPI Number | 1790566040 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790566040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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