| Clementine Portland | |
|
1148 Rosemont Rd West Linn OR 97068-9235 | |
| (971) 249-8448 | |
| (503) 305-7100 |
| Full Name | Clementine Portland |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1148 Rosemont Rd, West Linn, Oregon |
| Authorized Official Name and Position | Mike Bagley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clementine Portland 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Clementine Portland 1148 Rosemont Rd West Linn OR 97068-9235 Ph: (971) 249-8448 |
| NPI Number | 1023562147 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023562147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Oregon) | Primary |
Psychological Services Center, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Blankenship Rd Ste 200, West Linn, OR 97068 Phone: 971-400-5544 | |
Todd Overman Psychological, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1068 Epperly Way, West Linn, OR 97068 Phone: 503-349-9982 | |
Heidi Scanlan Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2631 Marylhurst Dr, West Linn, OR 97068 Phone: 503-855-9043 | |
Pacific Coast Therapist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19785 Wildwood Dr, West Linn, OR 97068 Phone: 408-805-6722 | |
Life Balance Northwest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Holly St, West Linn, OR 97068 Phone: 503-344-6211 Fax: 503-344-6991 | |
Wright Counseling & Consultation Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 Willamette Falls Dr, West Linn, OR 97068 Phone: 503-320-9190 |