<unavail> in Portland, OR

is a primary clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Portland, Oregon. The current practice location for is 1817 Ne 6th Ave, Portland, Oregon. For appointments, you can reach them via phone at (909) 455-4838. The mailing address for is 1817 Ne 6th Avenue, Portland, Oregon and phone number is (503) 719-7985.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1881293215. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (909) 455-4838.

Contact Information


	1817 Ne 6th Ave Portland OR 97212-3960
	(909) 455-4838
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
1817 Ne 6th Avenue Portland OR 97212-3906 Ph: (503) 719-7985	1817 Ne 6th Ave Portland OR 97212-3960 Ph: (909) 455-4838

NPI Details:

NPI Number	1881293215
Provider Enumeration Date	10/17/2020
Last Update Date	01/11/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881293215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QC1500X	Clinic/center - Community Health	(* (Not Available))	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Primary
261QR0405X	Clinic/center - Rehabilitation, Substance Use Disorder	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Portland, OR

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514

- Primary Care in Portland, OR