| Mandala Mental And Behavioral Health, Llc | |
|
650 Ne Holladay St Ste 16001614 Portland OR 97232-2045 | |
| (503) 367-3630 | |
| (503) 224-3126 |
| Full Name | Mandala Mental And Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 650 Ne Holladay St Ste 16001614, Portland, Oregon |
| Authorized Official Name and Position | Daniel J Gilbride (DIRECTOR) |
| Authorized Official Contact | 5033673630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandala Mental And Behavioral Health, Llc 650 Ne Holladay St Ste 1600 Portland OR 97232-2035 Ph: (503) 367-3630 | Mandala Mental And Behavioral Health, Llc 650 Ne Holladay St Ste 16001614 Portland OR 97232-2045 Ph: (503) 367-3630 |
| NPI Number | 1104333103 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104333103 | NPI | - | NPPES |
| 13804154 | Other | NATIONAL PROVIDER NUMBER, TERESA CONLAN | |
| 1942662150 | Other | NATIONAL PROVIDER NUMBER, DANIEL GILBRIDE |
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 |