Samaritan Counseling Center, Inc | |
1205 Ne Broadway St. Portland OR 97232 | |
(503) 281-3318 | |
(503) 281-0937 |
Full Name | Samaritan Counseling Center, Inc |
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Speciality | Counselor |
Location | 1205 Ne Broadway St., Portland, Oregon |
Authorized Official Name and Position | Michael E Sorensen (EXEC DIRECTOR) |
Authorized Official Contact | 5032813318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Samaritan Counseling Center, Inc 1205 Ne Broadway St Portland OR 97232-1233 Ph: (503) 281-3318 | Samaritan Counseling Center, Inc 1205 Ne Broadway St. Portland OR 97232 Ph: (503) 281-3318 |
NPI Number | 1235164559 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 10/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235164559 | NPI | - | NPPES |
048465000 | Other | OR | BCBS |
271177 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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