institution
Portland Neurofeedback, Llc
Mental Health Counselor in Portland, Oregon
NPI 1558875476

Portland Neurofeedback, Llc is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Portland Neurofeedback, Llc practices in Portland, OR. The NPI Number for Portland Neurofeedback, Llc is 1558875476 and holds a License No. (Oregon).

The current practice location address for Portland Neurofeedback, Llc is 4035 Ne Sandy Blvd # 200, Portland, OR and can be reached out via phone at 971-940-2601 and via fax at 971-275-1534.

Location: 4035 Ne Sandy Blvd # 200, Portland, OR, 97212-5331
institution
Provider Profile Details
NPI Number
1558875476
Provider Name
Portland Neurofeedback, Llc
Credential
Provider Entity Type
Organization
Address
4035 Ne Sandy Blvd # 200, Portland, OR, 97212-5331
Phone Number
971-940-2601
Fax Number
971-275-1534
Provider Enumeration Date
11/30/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500738886 05 OR
5006392224 05 OR
institution
Provider Business Practice Location Address Details
Address
4035 Ne Sandy Blvd # 200
City
State
Zip
97212-5331
Phone Number
971-940-2601
Fax Number
971-275-1534
person
Provider Business Mailing Address Details
Address
4035 Ne Sandy Blvd # 200
City
State
Zip
97212-5331
Phone Number
971-940-2601
Fax Number
971-275-1534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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