Organization · Type 2 NPI
Illuminate Healing LLC
Adult Mental Health Clinic/Center · Portland, OR
NPI number
1053186247
Active
Practice location
2926 NE Flanders St Ste 3A
Portland, OR 97232-3259
Mailing address
3439 SE Hawthorne Blvd # 1177
Portland, OR 97214-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2 other providers at this address
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About NPI 1053186247
Illuminate Healing LLC's National Provider Identifier is 1053186247, issued on Nov 17, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Portland, OR. The record was last updated on Nov 17, 2023.