| Nw Anxiety Institute, Llc | |
|
32 Ne 11th Ave Portland OR 97232-3001 | |
| (503) 542-7635 | |
| (503) 296-2262 |
| Full Name | Nw Anxiety Institute, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 32 Ne 11th Ave, Portland, Oregon |
| Authorized Official Name and Position | Allison Bonifay (LICENSED MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5036799435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Anxiety Institute, Llc 32 Ne 11th Ave Portland OR 97232-3001 Ph: (503) 542-7635 | Nw Anxiety Institute, Llc 32 Ne 11th Ave Portland OR 97232-3001 Ph: (503) 542-7635 |
| NPI Number | 1043649080 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043649080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C2836 (Oregon) | Primary |
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