| Counseling Services Of Ne Portland Llc | |
|
2135 Ne 44th Ave Portland OR 97213-1337 | |
| (503) 287-1526 | |
| Not Available |
| Full Name | Counseling Services Of Ne Portland Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2135 Ne 44th Ave, Portland, Oregon |
| Authorized Official Name and Position | Carol Walnum (MEMBER) |
| Authorized Official Contact | 5032871526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Of Ne Portland Llc 2135 Ne 44th Avenue Portlnd OR 97213-1337 Ph: () - | Counseling Services Of Ne Portland Llc 2135 Ne 44th Ave Portland OR 97213-1337 Ph: (503) 287-1526 |
| NPI Number | 1508209859 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508209859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C2550 (Oregon) | Primary |
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