Full Circle Ecotherapy And Family Services Llc | |
9201 Se Foster Rd Ste 202 Portland OR 97266-4644 | |
(971) 350-9205 | |
(866) 541-2731 |
Full Name | Full Circle Ecotherapy And Family Services Llc |
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Speciality | Social Worker - Clinical |
Location | 9201 Se Foster Rd Ste 202, Portland, Oregon |
Authorized Official Name and Position | Oriana Korol (OWNER/THERAPY) |
Authorized Official Contact | 9713509205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Full Circle Ecotherapy And Family Services Llc 7412 Se Harold St Portland OR 97206-5230 Ph: (971) 350-9205 | Full Circle Ecotherapy And Family Services Llc 9201 Se Foster Rd Ste 202 Portland OR 97266-4644 Ph: (971) 350-9205 |
NPI Number | 1487493847 |
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Provider Enumeration Date | 05/23/2024 |
Last Update Date | 05/23/2024 |
Certification Date | 05/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487493847 | NPI | - | NPPES |
500782081 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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