| Portland Mental Health & Wellness | |
|
905 Se 14th Ave Portland OR 97214-2569 | |
| (503) 622-8964 | |
| Not Available |
| Full Name | Portland Mental Health & Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 905 Se 14th Ave, Portland, Oregon |
| Authorized Official Name and Position | Brad Larsen (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5037155468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Mental Health & Wellness 905 Se 14th Ave Portland OR 97214-2569 Ph: (503) 715-5468 | Portland Mental Health & Wellness 905 Se 14th Ave Portland OR 97214-2569 Ph: (503) 622-8964 |
| NPI Number | 1588041388 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 11/05/2023 |
| Certification Date | 11/05/2023 |
| Medicare PECOS PAC ID | 6608138383 |
|---|---|
| Medicare Enrollment ID | O20180315002490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588041388 | NPI | - | NPPES |
| Provider Name | Rebecca M Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083047385 PECOS PAC ID: 7810121696 Enrollment ID: I20131010000165 |
| Provider Name | Brad W Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679723845 PECOS PAC ID: 0648491191 Enrollment ID: I20141024002196 |
| Provider Name | Adrian Larsen Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902144777 PECOS PAC ID: 0143582825 Enrollment ID: I20180323000790 |
| Provider Name | Amy L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427161587 PECOS PAC ID: 7911904214 Enrollment ID: I20190920001670 |
| Provider Name | Ofelio Resendiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124571609 PECOS PAC ID: 6709237282 Enrollment ID: I20240109002831 |
| Provider Name | John Auerbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821617267 PECOS PAC ID: 3678924164 Enrollment ID: I20240109003001 |
| Provider Name | Del Knight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801320726 PECOS PAC ID: 6204287725 Enrollment ID: I20240109004401 |
| Provider Name | Natalie Goldfarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730748187 PECOS PAC ID: 3072964303 Enrollment ID: I20240110004157 |
| Provider Name | Anna Stepanova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538617071 PECOS PAC ID: 7517300205 Enrollment ID: I20240209001559 |
| Provider Name | Laurel Fuson-lang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700268067 PECOS PAC ID: 5698118289 Enrollment ID: I20240212000313 |
| Provider Name | Elena Wadsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083353106 PECOS PAC ID: 7911341334 Enrollment ID: I20240213004569 |
| Provider Name | Eric Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922428564 PECOS PAC ID: 8921442153 Enrollment ID: I20240215003201 |
| Provider Name | Kimberly Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831333434 PECOS PAC ID: 1153765383 Enrollment ID: I20240215003383 |
| Provider Name | Steffani Kizziar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437688553 PECOS PAC ID: 8527401397 Enrollment ID: I20240409002046 |
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 |