Healingspaces4u | |
2951 Nw Division St Ste 120 Gresham OR 97030-5293 | |
(503) 688-3802 | |
(888) 887-8669 |
Full Name | Healingspaces4u |
---|---|
Speciality | Counselor - Mental Health |
Location | 2951 Nw Division St Ste 120, Gresham, Oregon |
Authorized Official Name and Position | Sarita Eugenia Trawick (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5036883802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healingspaces4u 2951 Nw Division St Ste 120 Gresham OR 97030-5293 Ph: (503) 688-3802 | Healingspaces4u 2951 Nw Division St Ste 120 Gresham OR 97030-5293 Ph: (503) 688-3802 |
NPI Number | 1215587126 |
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Provider Enumeration Date | 09/13/2019 |
Last Update Date | 09/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215587126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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