| Northwest Integrated Senior Services Llc | |
|
4531 Se Belmont St Ste 107 Portland OR 97215-1675 | |
| (503) 607-8855 | |
| (503) 296-2033 |
| Full Name | Northwest Integrated Senior Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4531 Se Belmont St Ste 107, Portland, Oregon |
| Authorized Official Name and Position | Dana Kappen (MANAGER) |
| Authorized Official Contact | 5036078855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Integrated Senior Services Llc 4531 Se Belmont St Ste 107 Portland OR 97215-1675 Ph: (503) 607-8855 | Northwest Integrated Senior Services Llc 4531 Se Belmont St Ste 107 Portland OR 97215-1675 Ph: (503) 607-8855 |
| NPI Number | 1801398292 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 02/06/2021 |
| Certification Date | 02/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801398292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7548 (Oregon) | Primary |
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