| Pdx Health, Llc | |
|
1902 Se Morrison St Portland OR 97214-2733 | |
| (202) 379-8359 | |
| (425) 589-0432 |
| Full Name | Pdx Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1902 Se Morrison St, Portland, Oregon |
| Authorized Official Name and Position | Thomas Feldman (CEO) |
| Authorized Official Contact | 2023798359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdx Health, Llc 1902 Se Morrison St Portland OR 97214-2733 Ph: (202) 379-8359 | Pdx Health, Llc 1902 Se Morrison St Portland OR 97214-2733 Ph: (202) 379-8359 |
| NPI Number | 1699522615 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699522615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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