Grounded Transitions | |
8106 N Van Houten Ave Portland OR 97203-6074 | |
(503) 858-7073 | |
Not Available |
Full Name | Grounded Transitions |
---|---|
Speciality | Community/behavioral Health |
Location | 8106 N Van Houten Ave, Portland, Oregon |
Authorized Official Name and Position | Katelyn Bessette (CEO) |
Authorized Official Contact | 5038587073 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grounded Transitions 8106 N Van Houten Ave Portland OR 97203-6074 Ph: (503) 858-7073 | Grounded Transitions 8106 N Van Houten Ave Portland OR 97203-6074 Ph: (503) 858-7073 |
NPI Number | 1073901088 |
---|---|
Provider Enumeration Date | 12/27/2014 |
Last Update Date | 12/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073901088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 15928668 (Oregon) | Primary |
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