| Resonance | |
|
3519 Ne 15th Ave Ste 151 Portland OR 97212-2356 | |
| (503) 567-4867 | |
| (800) 433-1396 |
| Full Name | Resonance |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3519 Ne 15th Ave Ste 151, Portland, Oregon |
| Authorized Official Name and Position | Amanda Singh Bans (OWNER) |
| Authorized Official Contact | 5418160362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resonance Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Resonance 3519 Ne 15th Ave Ste 151 Portland OR 97212-2356 Ph: (503) 567-4867 |
| NPI Number | 1184210213 |
|---|---|
| Provider Enumeration Date | 12/13/2020 |
| Last Update Date | 10/06/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184210213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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