| Pragmatic Healing Llc | |
|
3930 Sw Plum St Apt 1 Portland OR 97219-6046 | |
| (503) 515-1315 | |
| Not Available |
| Full Name | Pragmatic Healing Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3930 Sw Plum St Apt 1, Portland, Oregon |
| Authorized Official Name and Position | Lisa Ellen Stewart (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 5036162220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pragmatic Healing Llc 3930 Sw Plum St Apt 1 Portland OR 97219-6046 Ph: (503) 515-1315 | Pragmatic Healing Llc 3930 Sw Plum St Apt 1 Portland OR 97219-6046 Ph: (503) 515-1315 |
| NPI Number | 1720685696 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Medicare PECOS PAC ID | 8224426788 |
|---|---|
| Medicare Enrollment ID | O20211102003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720685696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa E Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093985350 PECOS PAC ID: 2668794611 Enrollment ID: I20211103002752 |
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