Inner Courage Llc | |
21 Ne Alberta St Portland OR 97211-2601 | |
(503) 341-4325 | |
Not Available |
Full Name | Inner Courage Llc |
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Speciality | Social Worker - Clinical |
Location | 21 Ne Alberta St, Portland, Oregon |
Authorized Official Name and Position | Carol Maker (MEMBER) |
Authorized Official Contact | 5033414325 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inner Courage Llc 21 Ne Alberta St Portland OR 97211-2601 Ph: (503) 341-4325 | Inner Courage Llc 21 Ne Alberta St Portland OR 97211-2601 Ph: (503) 341-4325 |
NPI Number | 1700906047 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 03/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700906047 | NPI | - | NPPES |
808138000 | Other | OR | REGENCE BCBS OF OREGON |
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