| Inner Journey Healing Arts Center | |
|
239 W Main St Hillsboro OR 97123-3962 | |
| (503) 621-8735 | |
| (503) 543-6101 |
| Full Name | Inner Journey Healing Arts Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 239 W Main St, Hillsboro, Oregon |
| Authorized Official Name and Position | Lisa Ann Burnell (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5036218735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Journey Healing Arts Center 28932 Huber Rd Scappoose OR 97056-2027 Ph: (503) 543-6100 | Inner Journey Healing Arts Center 239 W Main St Hillsboro OR 97123-3962 Ph: (503) 621-8735 |
| NPI Number | 1457404410 |
|---|---|
| Provider Enumeration Date | 01/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457404410 | NPI | - | NPPES |
| 278095 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 63212 (Oregon) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 02-R-13 (Oregon) | Primary |
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