| Radiant Mind | |
|
8638a N Lombard St Ste 3 Portland OR 97203-3741 | |
| (503) 386-1972 | |
| Not Available |
| Full Name | Radiant Mind |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8638a N Lombard St Ste 3, Portland, Oregon |
| Authorized Official Name and Position | Annamarie Harrison (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 5033861972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Mind 9707 N Clarendon Ave Portland OR 97203-1917 Ph: () - | Radiant Mind 8638a N Lombard St Ste 3 Portland OR 97203-3741 Ph: (503) 386-1972 |
| NPI Number | 1760129829 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760129829 | NPI | - | NPPES |
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