148835

PORTLAND, OR
NPI1861382384
Entity TypeOrganization
Authorized ContactRSHAFFER E SHAFFER
Member
805-657-0097
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2025-07-07
Last Update Date2025-07-07
Business Address
148835
529 SE GRAND AVE
PORTLAND, OR 97214-2232
Phone number: 971-270-0468
Mailing Address
148835
529 SE GRAND AVE
PORTLAND, OR 97214-2232
Phone number: 971-270-0468