| Pacific Psychology & Comprehensive Health Clinic | |
|
1411 Sw Morrison St Sutie 310 Portland OR 97205-1945 | |
| (503) 352-2400 | |
| (503) 352-2403 |
| Full Name | Pacific Psychology & Comprehensive Health Clinic |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1411 Sw Morrison St, Portland, Oregon |
| Authorized Official Name and Position | Lisa Downing (COMPLIANCE OFFICER) |
| Authorized Official Contact | 5033522663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychology & Comprehensive Health Clinic 1411 Sw Morrison St Sutie 310 Portland OR 97205-1945 Ph: (503) 352-2400 | Pacific Psychology & Comprehensive Health Clinic 1411 Sw Morrison St Sutie 310 Portland OR 97205-1945 Ph: (503) 352-2400 |
| NPI Number | 1912377193 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912377193 | NPI | - | NPPES |
| 500694103 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1476 (Oregon) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1476 (Oregon) | Secondary |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
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 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
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 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |