institution
Kartini Intensive Outpatient Program
Mental Health Counselor in Portland, Oregon
NPI 1073699013

Kartini Intensive Outpatient Program is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Kartini Intensive Outpatient Program practices in Portland, OR. The NPI Number for Kartini Intensive Outpatient Program is 1073699013 and holds a License No. NON-NUMBERED CERTIFI (Oregon).

The current practice location address for Kartini Intensive Outpatient Program is 2800 N. Vancouver Ave, Portland, OR and can be reached out via phone at 503-249-8851 and via fax at 503-282-3409.

Location: 2800 N. Vancouver Ave, Portland, OR, 97227-1634
institution
Provider Profile Details
NPI Number
1073699013
Provider Name
Kartini Intensive Outpatient Program
Credential
Provider Entity Type
Organization
Address
2800 N. Vancouver Ave, Portland, OR, 97227-1634
Phone Number
503-249-8851
Fax Number
503-282-3409
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26624890 01 OR DOMESTIC LLC
NON-NUMBERED CERTIFI 01 OR NON-INPATIENT MH FACILITY
institution
Provider Business Practice Location Address Details
Address
2800 N. Vancouver Ave
City
State
Zip
97227-1634
Phone Number
503-249-8851
Fax Number
503-282-3409
person
Provider Business Mailing Address Details
Address
2800 N. Vancouver Ave
City
State
Zip
97227-1634
Phone Number
503-249-8851
Fax Number
503-282-3409
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
NON-NUMBERED CERTIFI (Oregon)
Definition
Definition to come...
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