Pacific Crest Counseling Center Llc | |
8035 Ne Prescott St Portland OR 97218-4249 | |
(503) 223-7719 | |
(503) 255-4714 |
Full Name | Pacific Crest Counseling Center Llc |
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Speciality | Counselor - Mental Health |
Location | 8035 Ne Prescott St, Portland, Oregon |
Authorized Official Name and Position | Raymond W Peterson (CLINICAL DIRECTOR) |
Authorized Official Contact | 5032237719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pacific Crest Counseling Center Llc 8035 Ne Prescott St Portland OR 97218-4249 Ph: (503) 223-7719 | Pacific Crest Counseling Center Llc 8035 Ne Prescott St Portland OR 97218-4249 Ph: (503) 223-7719 |
NPI Number | 1033382916 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 04/14/2009 |
Identifier | Type | State | Issuer |
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1033382916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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