| Family Ties Counseling Center | |
|
333 S Flower St Portland OR 97239-3797 | |
| (503) 349-2281 | |
| (503) 719-8987 |
| Full Name | Family Ties Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 333 S Flower St, Portland, Oregon |
| Authorized Official Name and Position | Johanna Manalis (OWNER/DIRECTOR) |
| Authorized Official Contact | 5038671817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Ties Counseling Center 333 S Flower St Portland OR 97239-3797 Ph: (503) 349-2281 | Family Ties Counseling Center 333 S Flower St Portland OR 97239-3797 Ph: (503) 349-2281 |
| NPI Number | 1346667565 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346667565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C3076 (Oregon) | Primary |
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