Energymatters | |
8532 N Ivanhoe St Ste 203 Portland OR 97203-4827 | |
(503) 286-1004 | |
(503) 286-7909 |
Full Name | Energymatters |
---|---|
Speciality | Social Worker - Clinical |
Location | 8532 N Ivanhoe St Ste 203, Portland, Oregon |
Authorized Official Name and Position | Lesley V Alter (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5032861004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Energymatters Po Box 12553 Portland OR 97212-0553 Ph: (503) 286-1004 | Energymatters 8532 N Ivanhoe St Ste 203 Portland OR 97203-4827 Ph: (503) 286-1004 |
NPI Number | 1538602149 |
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Provider Enumeration Date | 11/30/2016 |
Last Update Date | 11/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538602149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1763 (Oregon) | Primary |
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