Awakened Heart Pdx, Llc - Portland, OR

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.

Location: 1306 Nw Hoyt St Ste 407, Portland, OR, 97209-2787

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

Identifier	Type	State	Issuer
1477854750	01		NPI TYPE 1
1609295682	01		NPI
1134628571	01	OR	NPI TYPE 1

Address

1306 Nw Hoyt St Ste 407

City

Portland

State

Oregon

Zip

97209-2787

Phone Number

971-407-3930

Fax Number

Address

1306 Nw Hoyt St Ste 407

City

Portland

State

Oregon

Zip

97209-2787

Phone Number

971-407-3930

Fax Number

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

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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