Organization · Type 2 NPI
148835
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1861382384
Active
Practice location
529 SE Grand Ave
Portland, OR 97214-2232
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 1861382384
148835's National Provider Identifier is 1861382384, issued on Jul 7, 2025. 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 Jul 7, 2025.