| Ellhorn, Llc | |
|
1975 Nw 167th Pl Ste 100 Beaverton OR 97006-4908 | |
| (503) 447-3566 | |
| (971) 223-0987 |
| Full Name | Ellhorn, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1975 Nw 167th Pl Ste 100, Beaverton, Oregon |
| Authorized Official Name and Position | Heather Rocha (OWNER/PROFESSIONAL COUNSELOR ASSOC.) |
| Authorized Official Contact | 5034473566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellhorn, Llc 1975 Nw 167th Pl Ste 100 Beaverton OR 97006-4908 Ph: (503) 447-3566 | Ellhorn, Llc 1975 Nw 167th Pl Ste 100 Beaverton OR 97006-4908 Ph: (503) 447-3566 |
| NPI Number | 1922708783 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922708783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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