| Modern Mindful Psychotherapy | |
|
2325 E Burnside St #201 Portland OR 97214-1655 | |
| (503) 564-8289 | |
| Not Available |
| Full Name | Modern Mindful Psychotherapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2325 E Burnside St, Portland, Oregon |
| Authorized Official Name and Position | Amelia Morgan-rothschild (FOUNDER) |
| Authorized Official Contact | 5035648289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mindful Psychotherapy 2325 E Burnside St #201 Portland OR 97214-1655 Ph: (503) 564-8289 | Modern Mindful Psychotherapy 2325 E Burnside St #201 Portland OR 97214-1655 Ph: (503) 564-8289 |
| NPI Number | 1578958534 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578958534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C3644 (Oregon) | Primary |
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