institution
Awakened Heart Pdx, Llc
Adult Mental Health Clinic/Center in Portland, Oregon
NPI 1467979914

Awakened Heart Pdx, Llc is an Adult Mental Health Clinic/Center based in Portland, OR and is specialized in Adult Mental Health. Awakened Heart Pdx, Llc practices in Portland, OR. The NPI Number for Awakened Heart Pdx, Llc is 1467979914 and holds a License No. T1051 (Oregon).

The current practice location address for Awakened Heart Pdx, Llc is 1306 Nw Hoyt St Ste 407, Portland, OR and can be reached out via phone at 971-407-3930. You can also correspond with Awakened Heart Pdx, Llc through the mailing address at 1306 NW HOYT ST STE 407, PORTLAND, OR - 97209-2787 (mailing address contact number: 971-407-3930).

Location: 1306 Nw Hoyt St Ste 407, Portland, OR, 97209-2787
institution
Provider Profile Details
NPI Number
1467979914
Provider Name
Awakened Heart Pdx, Llc
Credential
Provider Entity Type
Organization
Address
1306 Nw Hoyt St Ste 407, Portland, OR, 97209-2787
Phone Number
971-407-3930
Fax Number
Provider Enumeration Date
08/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477854750 01 NPI TYPE 1
1609295682 01 NPI
1134628571 01 OR NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
1306 Nw Hoyt St Ste 407
City
State
Zip
97209-2787
Phone Number
971-407-3930
Fax Number
person
Provider Business Mailing Address Details
Address
1306 Nw Hoyt St Ste 407
City
State
Zip
97209-2787
Phone Number
971-407-3930
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
T1051 (Oregon)
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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