Rustic Sage Llc - Portland, OR

Rustic Sage Llc

Adult Mental Health Clinic/Center in Portland, Oregon

NPI 1861158610

Rustic Sage Llc is an Adult Mental Health Clinic/Center based in Portland, OR and is specialized in Adult Mental Health. Rustic Sage Llc practices in Portland, OR. The NPI Number for Rustic Sage Llc is 1861158610 and holds a License No. (Oregon).

The current practice location address for Rustic Sage Llc is 1220 Sw Morrison St Ste 730, Portland, OR and can be reached out via phone at 503-860-1213 and via fax at 844-889-4937.

Location: 1220 Sw Morrison St Ste 730, Portland, OR, 97208-4162

NPI Number

1861158610

Provider Name

Rustic Sage Llc

Credential

Provider Entity Type

Organization

Address

1220 Sw Morrison St Ste 730, Portland, OR, 97208-4162

Phone Number

503-860-1213

Fax Number

844-889-4937

Provider Enumeration Date

11/16/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
500674262	05	OR

Address

1220 Sw Morrison St Ste 730

City

Portland

State

Oregon

Zip

97205-2226

Phone Number

503-860-1213

Fax Number

844-889-4937

Address

1220 Sw Morrison St Ste 730

City

Portland

State

Oregon

Zip

97205-2226

Phone Number

503-860-1213

Fax Number

844-889-4937

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

License No.

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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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