Ileap | |
1821 Se Cesar E Chavez Blvd Portland OR 97214-5215 | |
(503) 235-2127 | |
Not Available |
Full Name | Ileap |
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Speciality | Counselor - Mental Health |
Location | 1821 Se Cesar E Chavez Blvd, Portland, Oregon |
Authorized Official Name and Position | Edmond Williams (BOARD MEMBER) |
Authorized Official Contact | 5032352127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ileap Po Box 86550 Portland OR 97286-0550 Ph: (503) 235-2127 | Ileap 1821 Se Cesar E Chavez Blvd Portland OR 97214-5215 Ph: (503) 235-2127 |
NPI Number | 1043963663 |
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Provider Enumeration Date | 02/02/2022 |
Last Update Date | 02/02/2022 |
Certification Date | 02/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043963663 | NPI | - | NPPES |
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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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