| Cultivate Therapy | |
|
3050 Se Division St Ste 210 Portland OR 97202-1451 | |
| (503) 828-3899 | |
| Not Available |
| Full Name | Cultivate Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3050 Se Division St Ste 210, Portland, Oregon |
| Authorized Official Name and Position | Jon Joebgen (THERAPIST/OWNER) |
| Authorized Official Contact | 5038283899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Therapy Po Box 86436 Portland OR 97286-0436 Ph: (503) 828-3899 | Cultivate Therapy 3050 Se Division St Ste 210 Portland OR 97202-1451 Ph: (503) 828-3899 |
| NPI Number | 1497119135 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497119135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6435 (Oregon) | Primary |
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