| Lifeworks Northwest | |
|
5415 Sw Westgate Drive Portland OR 97221-2406 | |
| (503) 645-3581 | |
| (503) 629-8517 |
| Full Name | Lifeworks Northwest |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5415 Sw Westgate Drive, Portland, Oregon |
| Authorized Official Name and Position | Mary Monnat (CEO) |
| Authorized Official Contact | 5036453581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Northwest 5415 Sw Westgate Drive Portland OR 97221-2406 Ph: (503) 645-3581 | Lifeworks Northwest 5415 Sw Westgate Drive Portland OR 97221-2406 Ph: (503) 645-3581 |
| NPI Number | 1689812166 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689812166 | NPI | - | NPPES |
| 206763 | Medicaid | OR |
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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 | |
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