| Pnw-adhd Clinic | |
|
7831 Se Stark St Ste 211 Portland OR 97215-2313 | |
| (303) 668-6784 | |
| Not Available |
| Full Name | Pnw-adhd Clinic |
|---|---|
| Speciality | Physician Assistant |
| Location | 7831 Se Stark St Ste 211, Portland, Oregon |
| Authorized Official Name and Position | Kimberly Clifford (CO-OWNER) |
| Authorized Official Contact | 3036686784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnw-adhd Clinic 2238 N Farragut St Portland OR 97217-6425 Ph: () - | Pnw-adhd Clinic 7831 Se Stark St Ste 211 Portland OR 97215-2313 Ph: (303) 668-6784 |
| NPI Number | 1609607472 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609607472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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