Organization · Type 2 NPI
Brightside Coworking Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1265016679
Active
Practice location
6018 SE Stark St Ste 103
Portland, OR 97215-1990
Mailing address
624 SE 70th Ave
Portland, OR 97215-2126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1265016679
Brightside Coworking Inc's National Provider Identifier is 1265016679, issued on May 11, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Oct 27, 2021.