Christa Brennan Llc | |
819 Se Taylor St Portland OR 97214-2385 | |
(732) 275-2979 | |
Not Available |
Full Name | Christa Brennan Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 819 Se Taylor St, Portland, Oregon |
Authorized Official Name and Position | Christa Brennan (OWNER) |
Authorized Official Contact | 7322752979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Christa Brennan Llc 5010 Se 41st Ave Apt 106 Portland OR 97202-4278 Ph: (732) 275-2979 | Christa Brennan Llc 819 Se Taylor St Portland OR 97214-2385 Ph: (732) 275-2979 |
NPI Number | 1184310971 |
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Provider Enumeration Date | 04/13/2023 |
Last Update Date | 04/13/2023 |
Certification Date | 04/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184310971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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