| Family Ground Counseling Llc | |
|
712 Se Hawthorne Blvd Portland OR 97214-3538 | |
| (503) 703-9860 | |
| Not Available |
| Full Name | Family Ground Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 712 Se Hawthorne Blvd, Portland, Oregon |
| Authorized Official Name and Position | Julianne R Chapman (OWNER/ SOCIAL WORKER) |
| Authorized Official Contact | 5037039860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Ground Counseling Llc Po Box 15190 Portland OR 97293-5190 Ph: () - | Family Ground Counseling Llc 712 Se Hawthorne Blvd Portland OR 97214-3538 Ph: (503) 703-9860 |
| NPI Number | 1528413176 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528413176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L5973 (Oregon) | Primary |
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