Maire Murphy Counseling Llc | |
3434 S Kelly Ave Ste 8 Portland OR 97239-4630 | |
(503) 495-3934 | |
(503) 461-4281 |
Full Name | Maire Murphy Counseling Llc |
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Speciality | Clinic/Center |
Location | 3434 S Kelly Ave Ste 8, Portland, Oregon |
Authorized Official Name and Position | Maire Murphy (OWNER) |
Authorized Official Contact | 5034953934 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maire Murphy Counseling Llc 3434 S Kelly Ave Ste 8 Portland OR 97239-4630 Ph: (503) 495-3934 | Maire Murphy Counseling Llc 3434 S Kelly Ave Ste 8 Portland OR 97239-4630 Ph: (503) 495-3934 |
NPI Number | 1366271280 |
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Provider Enumeration Date | 07/30/2024 |
Last Update Date | 07/30/2024 |
Certification Date | 07/29/2024 |
Medicare PECOS PAC ID | 9537609466 |
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Medicare Enrollment ID | O20240906001106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366271280 | NPI | - | NPPES |
500706443 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Maire Murphy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740673375 PECOS PAC ID: 0345780276 Enrollment ID: I20240930001348 |
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