| NPI | 1588041388 |
|---|---|
| Doing Business As | PORTLAND MENTAL HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRAD LARSEN Psychologist/Owner 503-715-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2023-11-05 |