| Riverwood Psychotherapy Llc | |
|
3439 Se Hawthorne Blvd # 947 Portland OR 97214-5048 | |
| (971) 460-1676 | |
| Not Available |
| Full Name | Riverwood Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3439 Se Hawthorne Blvd # 947, Portland, Oregon |
| Authorized Official Name and Position | James Boyda (OWNER, MANAGER) |
| Authorized Official Contact | 9714601676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwood Psychotherapy Llc 3439 Se Hawthorne Blvd # 947 Portland OR 97214-5048 Ph: (971) 460-1676 | Riverwood Psychotherapy Llc 3439 Se Hawthorne Blvd # 947 Portland OR 97214-5048 Ph: (971) 460-1676 |
| NPI Number | 1801615828 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801615828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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