BASIC MINDFULNESS PORTLAND, LLC

PORTLAND, OR
NPI1902128804
Entity TypeOrganization
Authorized ContactJANET M. SIMS
Co Owner
503-719-5499
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  1978)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OR  4220)
Enumeration Date2010-02-18
Last Update Date2010-02-18
Business Address
BASIC MINDFULNESS PORTLAND, LLC
1920 NW JOHNSON ST SUITE 103
PORTLAND, OR 97209-1325
Phone number: 503-719-5499
Mailing Address
BASIC MINDFULNESS PORTLAND, LLC
1920 NW JOHNSON ST SUITE 103
PORTLAND, OR 97209-1325
Phone number: 503-719-5499