Individual provider · Type 1 NPI

Isabelle Megan Couch

Emotionally Disturbed Childrens' Residential Treatment Facility · Portland, OR

NPI number 1740909191 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Mailing address

6007 SW Karla Ct
Portland, OR 97239-1187

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1740909191

Isabelle Megan Couch's National Provider Identifier is 1740909191, issued on Aug 26, 2022. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2022.