| Erin Durst Psychotherapy Llc | |
|
1112 Ne 21st Ave Ste 1 Portland OR 97232-2595 | |
| (971) 219-7685 | |
| Not Available |
| Full Name | Erin Durst Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1112 Ne 21st Ave Ste 1, Portland, Oregon |
| Authorized Official Name and Position | Erin Elizabeth Durst (INDIVIDUAL AND FAMILY THERAPIST) |
| Authorized Official Contact | 9712197685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Durst Psychotherapy Llc 1112 Ne 21st Ave Ste 1 Portland OR 97232-2595 Ph: (971) 219-7685 | Erin Durst Psychotherapy Llc 1112 Ne 21st Ave Ste 1 Portland OR 97232-2595 Ph: (971) 219-7685 |
| NPI Number | 1679002786 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679002786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | L6314 (Oregon) | Primary |
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