| Nara | |
|
1631 Sw Columbia St Portland OR 97201-6025 | |
| (503) 231-2641 | |
| Not Available |
| Full Name | Nara |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1631 Sw Columbia St, Portland, Oregon |
| Authorized Official Name and Position | Bobbi R Day (ATR CORRIDIANTOR/COUNSELOR) |
| Authorized Official Contact | 5032312641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nara Po Box 1569 Portland OR 97207-1569 Ph: (503) 231-2641 | Nara 1631 Sw Columbia St Portland OR 97201-6025 Ph: (503) 231-2641 |
| NPI Number | 1609163740 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609163740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CD 60032337 (Washington) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 10-R-30 (Oregon) | Primary |
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