| Pure Self Counseling Llc | |
|
1020 Sw Taylor St Ste 500 Portland OR 97205-2574 | |
| (503) 908-2530 | |
| Not Available |
| Full Name | Pure Self Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1020 Sw Taylor St Ste 500, Portland, Oregon |
| Authorized Official Name and Position | Marissa Cano (OWNER) |
| Authorized Official Contact | 5039082530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Self Counseling Llc 1020 Sw Taylor St Ste 500 Portland OR 97205-2574 Ph: () - | Pure Self Counseling Llc 1020 Sw Taylor St Ste 500 Portland OR 97205-2574 Ph: (503) 908-2530 |
| NPI Number | 1396578175 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396578175 | NPI | - | NPPES |
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