| Portland Family Services Llc | |
|
439 N Broadway Portland OR 97227-1803 | |
| (725) 218-6251 | |
| Not Available |
| Full Name | Portland Family Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 439 N Broadway, Portland, Oregon |
| Authorized Official Name and Position | Micarol Copeland (OWNER) |
| Authorized Official Contact | 7252186251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Family Services Llc 439 N Broadway Portland OR 97227-1803 Ph: (725) 218-6251 | Portland Family Services Llc 439 N Broadway Portland OR 97227-1803 Ph: (725) 218-6251 |
| NPI Number | 1073164018 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073164018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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