| Queerapy | |
|
8311 Se 13th Ave Ste B Portland OR 97202-7170 | |
| (503) 389-0398 | |
| (503) 200-1178 |
| Full Name | Queerapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8311 Se 13th Ave Ste B, Portland, Oregon |
| Authorized Official Name and Position | Colin Wolf (CEO) |
| Authorized Official Contact | 5033890398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queerapy 8311 Se 13th Ave Ste B Portland OR 97202-7170 Ph: (503) 389-0398 | Queerapy 8311 Se 13th Ave Ste B Portland OR 97202-7170 Ph: (503) 389-0398 |
| NPI Number | 1528655263 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528655263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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