| Inner Otter Therapy Llc | |
|
114 S Lane St Apt 2 Portland OR 97239-4790 | |
| (503) 519-3891 | |
| Not Available |
| Full Name | Inner Otter Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 114 S Lane St Apt 2, Portland, Oregon |
| Authorized Official Name and Position | Shelly Hsu (OWNER) |
| Authorized Official Contact | 5035193891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Otter Therapy Llc 114 S Lane St Apt 2 Portland OR 97239-4790 Ph: () - | Inner Otter Therapy Llc 114 S Lane St Apt 2 Portland OR 97239-4790 Ph: (503) 519-3891 |
| NPI Number | 1144050345 |
|---|---|
| Provider Enumeration Date | 08/03/2024 |
| Last Update Date | 08/03/2024 |
| Certification Date | 08/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144050345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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