Organization · Type 2 NPI

Laura Marie Separa Therapy Services

Community/Behavioral Health Agency · Portland, OR

NPI number 1770022493 Active

Practice location

610 SW Alder St, Suite 1100
Portland, OR 97205-3625

Mailing address

199 NE Ironcreek Ter
Hillsboro, OR 97124-5150

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XC4399 (OR)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1770022493

Laura Marie Separa Therapy Services's National Provider Identifier is 1770022493, issued on Feb 14, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Feb 22, 2017.