| Restoring Balance | |
|
12725 Sw Millikan Way Ste 300 Beaverton OR 97005-1687 | |
| (503) 749-9076 | |
| Not Available |
| Full Name | Restoring Balance |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12725 Sw Millikan Way Ste 300, Beaverton, Oregon |
| Authorized Official Name and Position | Mackensie Marie Keiner (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5037135040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Balance 605 Nw 118th Ave Unit 106 Portland OR 97229-6670 Ph: (503) 816-9211 | Restoring Balance 12725 Sw Millikan Way Ste 300 Beaverton OR 97005-1687 Ph: (503) 749-9076 |
| NPI Number | 1003441536 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003441536 | NPI | - | NPPES |
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