| Northwest Elite Mental Health Clinic | |
|
5109 Se 88th Ave Portland OR 97266-3816 | |
| (971) 601-8155 | |
| Not Available |
| Full Name | Northwest Elite Mental Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5109 Se 88th Ave, Portland, Oregon |
| Authorized Official Name and Position | Suado Abshir Madey (CASE MANAGER/ CARE COORDINATOR) |
| Authorized Official Contact | 9716018155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Elite Mental Health Clinic 5109 Se 88th Ave Portland OR 97266-3816 Ph: (971) 601-8155 | Northwest Elite Mental Health Clinic 5109 Se 88th Ave Portland OR 97266-3816 Ph: (971) 601-8155 |
| NPI Number | 1780411926 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780411926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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