Oregan Change Clinic | |
1817 Ne 6th Ave Portland OR 97212-3960 | |
(909) 455-4838 | |
Not Available |
Full Name | Oregan Change Clinic |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1817 Ne 6th Ave, Portland, Oregon |
Authorized Official Name and Position | Shannon Jones (OWNER/CEO) |
Authorized Official Contact | 9094554838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oregan Change Clinic 1817 Ne 6th Avenue Portland OR 97212-3906 Ph: (503) 719-7985 | Oregan Change Clinic 1817 Ne 6th Ave Portland OR 97212-3960 Ph: (909) 455-4838 |
NPI Number | 1881293215 |
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Provider Enumeration Date | 10/17/2020 |
Last Update Date | 01/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881293215 | NPI | - | NPPES |
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