Organization · Type 2 NPI

Kartini Intensive Outpatient Program

Mental Health Counselor · Portland, OR

NPI number 1073699013 Active

Practice location

2800 N. Vancouver Ave, Suite 118
Portland, OR 97227-1634

Call (503) 249-8851 Map

Fax (503) 282-3409

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNON-NUMBERED CERTIFI (OR)

Mental Health Counselor: Definition to come...

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About NPI 1073699013

Kartini Intensive Outpatient Program's National Provider Identifier is 1073699013, issued on Oct 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.