| Elevated Hearts Center | |
|
4145 Sw Watson Ave Ste 358 Beaverton OR 97005-2132 | |
| (458) 236-3234 | |
| Not Available |
| Full Name | Elevated Hearts Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4145 Sw Watson Ave Ste 358, Beaverton, Oregon |
| Authorized Official Name and Position | Javier Hicks (CEO) |
| Authorized Official Contact | 4582363234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Hearts Center 4145 Sw Watson Ave Ste 358 Beaverton OR 97005-2132 Ph: (458) 236-3234 | Elevated Hearts Center 4145 Sw Watson Ave Ste 358 Beaverton OR 97005-2132 Ph: (458) 236-3234 |
| NPI Number | 1356107478 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356107478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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