| The Estuary Center | |
|
7475 Sw Oleson Rd Portland OR 97223-7474 | |
| (971) 804-0276 | |
| Not Available |
| Full Name | The Estuary Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7475 Sw Oleson Rd, Portland, Oregon |
| Authorized Official Name and Position | Kellee Hernandez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9718040276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Estuary Center 15585 Nw Barkton St Beaverton OR 97006-5349 Ph: () - | The Estuary Center 7475 Sw Oleson Rd Portland OR 97223-7474 Ph: (971) 804-0276 |
| NPI Number | 1265013684 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265013684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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