| Heartafire Llc | |
|
9370 Sw Greenburg Rd Ste 202 Tigard OR 97223-5421 | |
| (503) 495-5111 | |
| Not Available |
| Full Name | Heartafire Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9370 Sw Greenburg Rd Ste 202, Tigard, Oregon |
| Authorized Official Name and Position | Rebekah Stines (FOUNDER/CLINICAL SUPERVISOR) |
| Authorized Official Contact | 5034955111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartafire Llc 9370 Sw Greenburg Rd Ste 202 Tigard OR 97223-5421 Ph: (503) 495-5111 | Heartafire Llc 9370 Sw Greenburg Rd Ste 202 Tigard OR 97223-5421 Ph: (503) 495-5111 |
| NPI Number | 1598421315 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598421315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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