| Center Of Hope Counseling Services Llc | |
|
510 Ne Roberts Ave Ste 100 Gresham OR 97030-7483 | |
| (971) 284-9529 | |
| Not Available |
| Full Name | Center Of Hope Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 510 Ne Roberts Ave Ste 100, Gresham, Oregon |
| Authorized Official Name and Position | Scott Newman (OFFICE MANAGER) |
| Authorized Official Contact | 3604487260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Hope Counseling Services Llc 510 Ne Roberts Ave Ste 100 Gresham OR 97030-7483 Ph: (971) 284-9529 | Center Of Hope Counseling Services Llc 510 Ne Roberts Ave Ste 100 Gresham OR 97030-7483 Ph: (971) 284-9529 |
| NPI Number | 1104487412 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 3971830050 |
|---|---|
| Medicare Enrollment ID | O20190813000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104487412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jennifer Vinton Vanarsdall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386021707 PECOS PAC ID: 4880921964 Enrollment ID: I20190813000331 |
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