Organization · Type 2 NPI
Radical Families, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1528844503
Active
Practice location
1842 SE 113th Ave
Portland, OR 97216-3615
Fax (541) 632-8328
Mailing address
PO Box 16094
Portland, OR 97292-0094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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...
Another provider at this address
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About NPI 1528844503
Radical Families, LLC's National Provider Identifier is 1528844503, issued on Sep 5, 2023. 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 Sep 5, 2023.