| Full Circle Community Services | |
|
4230 Se King Rd # 104 Portland OR 97222-5259 | |
| (303) 564-0126 | |
| Not Available |
| Full Name | Full Circle Community Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4230 Se King Rd # 104, Portland, Oregon |
| Authorized Official Name and Position | Don Ernest Haiman (SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 3035640126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Circle Community Services 4230 Se King Rd # 104 Portland OR 97222-5259 Ph: (303) 564-0126 | Full Circle Community Services 4230 Se King Rd # 104 Portland OR 97222-5259 Ph: (303) 564-0126 |
| NPI Number | 1427550375 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 03/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427550375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7605 (Oregon) | Primary |
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