| Acadia Northwest, Llc | |
|
504 Main St Ste A Oregon City OR 97045-1852 | |
| (503) 245-6262 | |
| (503) 245-6263 |
| Full Name | Acadia Northwest, Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 504 Main St Ste A, Oregon City, Oregon |
| Authorized Official Name and Position | Craig Chan (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5032456262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadia Northwest, Llc Po Box 80747 Portland OR 97280-1747 Ph: (503) 245-6262 | Acadia Northwest, Llc 504 Main St Ste A Oregon City OR 97045-1852 Ph: (503) 245-6262 |
| NPI Number | 1891980140 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891980140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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