institution
Illuminate Healing Llc
Adult Mental Health Clinic/Center in Portland, Oregon
NPI 1053186247

Illuminate Healing Llc is an Adult Mental Health Clinic/Center based in Portland, OR and is specialized in Adult Mental Health. Illuminate Healing Llc practices in Portland, OR. The NPI Number for Illuminate Healing Llc is 1053186247 and holds a License No. (Oregon).

The current practice location address for Illuminate Healing Llc is 2926 Ne Flanders St Ste 3A, Portland, OR and can be reached out via phone at 503-272-1482. You can also correspond with Illuminate Healing Llc through the mailing address at 3439 SE HAWTHORNE BLVD # 1177, PORTLAND, OR - 97214-5048 (mailing address contact number: 503-272-1482).

Location: 2926 Ne Flanders St Ste 3A, Portland, OR, 97214-5048
institution
Provider Profile Details
NPI Number
1053186247
Provider Name
Illuminate Healing Llc
Credential
Provider Entity Type
Organization
Address
2926 Ne Flanders St Ste 3A, Portland, OR, 97214-5048
Phone Number
503-272-1482
Fax Number
Provider Enumeration Date
11/17/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500704520 05 OR
institution
Provider Business Practice Location Address Details
Address
2926 Ne Flanders St Ste 3A
City
State
Zip
97232-3259
Phone Number
503-272-1482
Fax Number
person
Provider Business Mailing Address Details
Address
2926 Ne Flanders St Ste 3A
City
State
Zip
97232-3259
Phone Number
503-272-1482
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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