institution
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. You can also correspond with Rustic Sage Llc through the mailing address at PO BOX 4162, PORTLAND, OR - 97208-4162 (mailing address contact number: 503-860-1213).

Location: 1220 Sw Morrison St Ste 730, Portland, OR, 97208-4162
institution
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
500674262 05 OR
institution
Provider Business Practice Location Address Details
Address
1220 Sw Morrison St Ste 730
City
State
Zip
97205-2226
Phone Number
503-860-1213
Fax Number
844-889-4937
person
Provider Business Mailing Address Details
Address
1220 Sw Morrison St Ste 730
City
State
Zip
97205-2226
Phone Number
503-860-1213
Fax Number
844-889-4937
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
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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