Owls Nest North Therapy Joint | |
3615 Ne Grand Ave Portland OR 97212-2104 | |
(503) 281-1166 | |
(503) 281-0787 |
Full Name | Owls Nest North Therapy Joint |
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Speciality | Marriage & Family Therapist |
Location | 3615 Ne Grand Ave, Portland, Oregon |
Authorized Official Name and Position | Kristi Erlich (OWNER) |
Authorized Official Contact | 5032811166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Owls Nest North Therapy Joint 3615 Ne Grand Ave Portland OR 97212-2104 Ph: () - | Owls Nest North Therapy Joint 3615 Ne Grand Ave Portland OR 97212-2104 Ph: (503) 281-1166 |
NPI Number | 1376948232 |
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Provider Enumeration Date | 11/04/2014 |
Last Update Date | 03/06/2024 |
Certification Date | 03/06/2024 |
Identifier | Type | State | Issuer |
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1376948232 | NPI | - | NPPES |
500643178 MCD | Medicaid | OR |
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