| Garrick Duckler, Llc | |
|
2279 Nw Irving St Portland OR 97210-3222 | |
| (415) 706-9745 | |
| Not Available |
| Full Name | Garrick Duckler, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2279 Nw Irving St, Portland, Oregon |
| Authorized Official Name and Position | Garrick Duckler (OWNER) |
| Authorized Official Contact | 4157069745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrick Duckler, Llc 2279 Nw Irving St Portland OR 97210-3222 Ph: (415) 706-9745 | Garrick Duckler, Llc 2279 Nw Irving St Portland OR 97210-3222 Ph: (415) 706-9745 |
| NPI Number | 1588238042 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588238042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
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Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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