| Pdx Psychotherapy Llc | |
|
7325 N Burrage Ave Portland OR 97217-5223 | |
| (971) 319-3843 | |
| Not Available |
| Full Name | Pdx Psychotherapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7325 N Burrage Ave, Portland, Oregon |
| Authorized Official Name and Position | Rachel Hirsch (LPC) |
| Authorized Official Contact | 9713193843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdx Psychotherapy Llc 7325 N Burrage Ave Portland OR 97217-5223 Ph: (971) 319-3843 | Pdx Psychotherapy Llc 7325 N Burrage Ave Portland OR 97217-5223 Ph: (971) 319-3843 |
| NPI Number | 1457023152 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457023152 | NPI | - | NPPES |
| 1033779582 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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