| Teen Focused, Llc | |
|
8420 N Ivanhoe St # 83811 Portland OR 97203-4826 | |
| (503) 482-2400 | |
| (503) 689-8481 |
| Full Name | Teen Focused, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8420 N Ivanhoe St # 83811, Portland, Oregon |
| Authorized Official Name and Position | Misao Eliahim (OWNER/MH THERAPIST) |
| Authorized Official Contact | 4159668067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Focused, Llc 8420 N Ivanhoe St # 83811 Portland OR 97203-4826 Ph: (415) 966-8067 | Teen Focused, Llc 8420 N Ivanhoe St # 83811 Portland OR 97203-4826 Ph: (503) 482-2400 |
| NPI Number | 1083385140 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 05/18/2025 |
| Certification Date | 05/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083385140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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