| Empower Mind & Body Llc | |
|
4130 Sw 117th Ave # A165 Beaverton OR 97005-5606 | |
| (971) 895-5976 | |
| Not Available |
| Full Name | Empower Mind & Body Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4130 Sw 117th Ave # A165, Beaverton, Oregon |
| Authorized Official Name and Position | Ahmed Muqtar (CEO) |
| Authorized Official Contact | 9718955976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Mind & Body Llc 4130 Sw 117th Ave # A165 Beaverton OR 97005-5606 Ph: (971) 895-5976 | Empower Mind & Body Llc 4130 Sw 117th Ave # A165 Beaverton OR 97005-5606 Ph: (971) 895-5976 |
| NPI Number | 1164292587 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164292587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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