| Open Heart Counseling Llc | |
|
2304 E Burnside St Portland OR 97214-1677 | |
| (503) 915-0028 | |
| Not Available |
| Full Name | Open Heart Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2304 E Burnside St, Portland, Oregon |
| Authorized Official Name and Position | Jade Lore (THERAPIST) |
| Authorized Official Contact | 5039150028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Heart Counseling Llc 2304 E Burnside St Ste 201 Portland OR 97214-1689 Ph: () - | Open Heart Counseling Llc 2304 E Burnside St Portland OR 97214-1677 Ph: (503) 915-0028 |
| NPI Number | 1588492052 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588492052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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