Northwest Family Mental Health Services Llc | |
1675 Sw Marlow Ave Suite 303 Portland OR 97225-5104 | |
(503) 601-3770 | |
(503) 601-3775 |
Full Name | Northwest Family Mental Health Services Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 1675 Sw Marlow Ave, Portland, Oregon |
Authorized Official Name and Position | Christina Michelle Tingley (MSW, OWNER) |
Authorized Official Contact | 5036013770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwest Family Mental Health Services Llc 1675 Sw Marlow Ave Suite 303 Portland OR 97225-5104 Ph: (503) 601-3770 | Northwest Family Mental Health Services Llc 1675 Sw Marlow Ave Suite 303 Portland OR 97225-5104 Ph: (503) 601-3770 |
NPI Number | 1457763443 |
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Provider Enumeration Date | 05/23/2014 |
Last Update Date | 07/06/2015 |
Identifier | Type | State | Issuer |
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1457763443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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