| Changing Perceptions | |
|
522 Sw 13th Ave Portland OR 97205-2307 | |
| (503) 290-4513 | |
| Not Available |
| Full Name | Changing Perceptions |
|---|---|
| Speciality | Social Worker |
| Location | 522 Sw 13th Ave, Portland, Oregon |
| Authorized Official Name and Position | Davonna Livingston (FOUNDER) |
| Authorized Official Contact | 5022904513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Perceptions Po Box 2071 Portland OR 97208-2071 Ph: (503) 290-4513 | Changing Perceptions 522 Sw 13th Ave Portland OR 97205-2307 Ph: (503) 290-4513 |
| NPI Number | 1285033993 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285033993 | NPI | - | NPPES |
| 500671954 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 104100000X (Oregon) | Primary |
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