| Yellow Artichoke Llc | |
|
5441 S Macadam Ave Ste N Portland OR 97239-2947 | |
| (503) 308-1094 | |
| (503) 526-8721 |
| Full Name | Yellow Artichoke Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5441 S Macadam Ave, Portland, Oregon |
| Authorized Official Name and Position | Elaine Aguila (OWNER/CLINICIAN) |
| Authorized Official Contact | 5033081094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellow Artichoke Llc 5331 S Macadam Ave Ste 258 Pmb 508 Portland OR 97239 Ph: (503) 308-1094 | Yellow Artichoke Llc 5441 S Macadam Ave Ste N Portland OR 97239-2947 Ph: (503) 308-1094 |
| NPI Number | 1568278570 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568278570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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