| Youth Villages | |
|
2507 Christie Dr Lake Oswego OR 97034 | |
| (503) 635-3416 | |
| Not Available |
| Full Name | Youth Villages |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2507 Christie Dr, Lake Oswego, Oregon |
| Authorized Official Name and Position | Daina Michelle Tague (ER DIVERSION SPECIALIST) |
| Authorized Official Contact | 5415134998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 12945 Sw Hawks Beard St Tigard OR 97223-1956 Ph: () - | Youth Villages 2507 Christie Dr Lake Oswego OR 97034 Ph: (503) 635-3416 |
| NPI Number | 1992243992 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992243992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | M6979 (Oregon) | Primary |
Mitch Elovitz, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15100 Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-804-3063 Fax: 503-635-9127 | |
Kokua Counseling Pdx, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16780 Bryant Rd, Suite 8, Lake Oswego, OR 97035 Phone: 503-869-2933 | |
Cynthia Steinhauser, Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11830 Sw Kerr Pkwy, Suite 370, Lake Oswego, OR 97035 Phone: 503-293-8300 Fax: 503-293-8388 | |
Leading Light Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr Ste 121, Lake Oswego, OR 97035 Phone: 503-957-1032 | |
Ally Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5655 Southwood Dr, Lake Oswego, OR 97035 Phone: 503-208-4327 |