| Therapy, Altered | |
|
1110 Se Alder St Ste 301 Portland OR 97214-2400 | |
| (847) 222-3060 | |
| Not Available |
| Full Name | Therapy, Altered |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1110 Se Alder St Ste 301, Portland, Oregon |
| Authorized Official Name and Position | Rebecca Lynn Davis (OWNER) |
| Authorized Official Contact | 8472223060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy, Altered 2030 Sw Main St Portland OR 97205-1531 Ph: (847) 222-3060 | Therapy, Altered 1110 Se Alder St Ste 301 Portland OR 97214-2400 Ph: (847) 222-3060 |
| NPI Number | 1831964857 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831964857 | NPI | - | NPPES |
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