Spring Psychotherapy Llc | |
3533 Ne Grand Ave Portland OR 97212-2102 | |
(503) 610-0572 | |
Not Available |
Full Name | Spring Psychotherapy Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3533 Ne Grand Ave, Portland, Oregon |
Authorized Official Name and Position | Grace Spring (OWNER) |
Authorized Official Contact | 6107643142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spring Psychotherapy Llc 3533 Ne Grand Ave Portland OR 97212-2102 Ph: (610) 764-3142 | Spring Psychotherapy Llc 3533 Ne Grand Ave Portland OR 97212-2102 Ph: (503) 610-0572 |
NPI Number | 1134816820 |
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Provider Enumeration Date | 04/21/2023 |
Last Update Date | 04/21/2023 |
Certification Date | 04/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134816820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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