| Salus Pdx | |
|
610 Sw Alder St Ste 1100 Portland OR 97205-3612 | |
| (503) 714-5814 | |
| Not Available |
| Full Name | Salus Pdx |
|---|---|
| Speciality | Counselor |
| Location | 610 Sw Alder St Ste 1100, Portland, Oregon |
| Authorized Official Name and Position | Jessica Tolleson (THERAPIST) |
| Authorized Official Contact | 5037145814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salus Pdx 610 Sw Alder St Ste 1100 Portland OR 97205-3612 Ph: () - | Salus Pdx 610 Sw Alder St Ste 1100 Portland OR 97205-3612 Ph: (503) 714-5814 |
| NPI Number | 1649762758 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Medicare PECOS PAC ID | 4183015175 |
|---|---|
| Medicare Enrollment ID | O20211230000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649762758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sarah Lauren Eckstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588944417 PECOS PAC ID: 8527459213 Enrollment ID: I20220107000920 |
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