| Kartini Intensive Outpatient Program | |
|
2800 N. Vancouver Ave Suite 118 Portland OR 97227-1634 | |
| (503) 249-8851 | |
| (503) 282-3409 |
| Full Name | Kartini Intensive Outpatient Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2800 N. Vancouver Ave, Portland, Oregon |
| Authorized Official Name and Position | Steve Nemirow (DIRECTOR) |
| Authorized Official Contact | 5032498851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kartini Intensive Outpatient Program 2800 N. Vancouver Ave Suite 118 Portland OR 97227-1634 Ph: (503) 249-8851 | Kartini Intensive Outpatient Program 2800 N. Vancouver Ave Suite 118 Portland OR 97227-1634 Ph: (503) 249-8851 |
| NPI Number | 1073699013 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073699013 | NPI | - | NPPES |
| 26624890 | Other | OR | DOMESTIC LLC |
| NON-NUMBERED CERTIFI | Other | OR | NON-INPATIENT MH FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | NON-NUMBERED CERTIFI (Oregon) | Primary |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
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 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |