| Hourglass Counseling | |
|
650 Ne Holladay St Suite 1600 Portland OR 97232-2045 | |
| (503) 438-0266 | |
| Not Available |
| Full Name | Hourglass Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 650 Ne Holladay St, Portland, Oregon |
| Authorized Official Name and Position | William Noah Walker (OWNER) |
| Authorized Official Contact | 5034380266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hourglass Counseling 650 Ne Holladay St Suite 1600 Portland OR 97232-2045 Ph: (503) 438-0266 | Hourglass Counseling 650 Ne Holladay St Suite 1600 Portland OR 97232-2045 Ph: (503) 438-0266 |
| NPI Number | 1568913028 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 06/27/2017 |
| Medicare PECOS PAC ID | 6002185436 |
|---|---|
| Medicare Enrollment ID | O20170628002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568913028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 124827296 (Oregon) | Primary |
| Provider Name | William Noah Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902340060 PECOS PAC ID: 7810266244 Enrollment ID: I20170628002237 |
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