| Pneuma Counseling, Llc | |
|
4036 Ne Sandy Blvd Suite 203 Portland OR 97212-5335 | |
| (503) 619-6994 | |
| Not Available |
| Full Name | Pneuma Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4036 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Sarah Probst (OWNER) |
| Authorized Official Contact | 5036196994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pneuma Counseling, Llc 10225 Ne Holladay St Portland OR 97220-3920 Ph: (503) 619-6994 | Pneuma Counseling, Llc 4036 Ne Sandy Blvd Suite 203 Portland OR 97212-5335 Ph: (503) 619-6994 |
| NPI Number | 1659815660 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 7911347869 |
|---|---|
| Medicare Enrollment ID | O20240425003502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659815660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C4343 (Oregon) | Primary |
| Provider Name | Sarah R Probst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033587241 PECOS PAC ID: 8325488265 Enrollment ID: I20240425003285 |
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