| Pacific Mental Health Oregon Llc | |
|
830 Ne Holladay St Portland OR 97232-2104 | |
| (425) 582-2041 | |
| (425) 527-0468 |
| Full Name | Pacific Mental Health Oregon Llc |
|---|---|
| Speciality | Counselor |
| Location | 830 Ne Holladay St, Portland, Oregon |
| Authorized Official Name and Position | Jeffery Goff (CEO OWNER) |
| Authorized Official Contact | 4253612273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mental Health Oregon Llc 5108 196th St Sw Lynnwood WA 98036-6152 Ph: () - | Pacific Mental Health Oregon Llc 830 Ne Holladay St Portland OR 97232-2104 Ph: (425) 582-2041 |
| NPI Number | 1811776933 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811776933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
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Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
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