| Seeded Somatics Llc | |
|
5263 Ne 32nd Pl Portland OR 97211-6915 | |
| (971) 940-3634 | |
| Not Available |
| Full Name | Seeded Somatics Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 5263 Ne 32nd Pl, Portland, Oregon |
| Authorized Official Name and Position | Obi Schlachter (OWNER) |
| Authorized Official Contact | 9719403634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeded Somatics Llc 5263 Ne 32nd Pl Portland OR 97211-6915 Ph: () - | Seeded Somatics Llc 5263 Ne 32nd Pl Portland OR 97211-6915 Ph: (971) 940-3634 |
| NPI Number | 1700595949 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700595949 | NPI | - | NPPES |
| 1538309364 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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