| Hummingbird Healing Psychotherapy Llc | |
|
4 Touchstone Apt 70 Lake Oswego OR 97035-1959 | |
| (845) 248-4103 | |
| Not Available |
| Full Name | Hummingbird Healing Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 Touchstone Apt 70, Lake Oswego, Oregon |
| Authorized Official Name and Position | Phillipa Jagla (OWNER) |
| Authorized Official Contact | 8452484103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hummingbird Healing Psychotherapy Llc 4 Touchstone Apt 70 Lake Oswego OR 97035-1959 Ph: (845) 248-4103 | Hummingbird Healing Psychotherapy Llc 4 Touchstone Apt 70 Lake Oswego OR 97035-1959 Ph: (845) 248-4103 |
| NPI Number | 1295423366 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 1052762168 |
|---|---|
| Medicare Enrollment ID | O20240112001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295423366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Phillipa Courtnay Spencer Jagla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881047520 PECOS PAC ID: 2961853072 Enrollment ID: I20240112001211 |
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