| Kinship House | |
|
1823 Ne 8th Ave Portland OR 97212-3907 | |
| (503) 460-2796 | |
| (503) 460-3750 |
| Full Name | Kinship House |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1823 Ne 8th Ave, Portland, Oregon |
| Authorized Official Name and Position | Bethel May Levad (OFFICE MANAGER) |
| Authorized Official Contact | 5034602796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinship House 1823 Ne 8th Ave Portland OR 97212-3907 Ph: (503) 460-2796 | Kinship House 1823 Ne 8th Ave Portland OR 97212-3907 Ph: (503) 460-2796 |
| NPI Number | 1881728087 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881728087 | NPI | - | NPPES |
| 210418 | Medicaid | OR |
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