| Innovative Therapeutic Solutions, Llc | |
|
5268 N Harvard St Portland OR 97203-5258 | |
| (503) 481-5523 | |
| Not Available |
| Full Name | Innovative Therapeutic Solutions, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5268 N Harvard St, Portland, Oregon |
| Authorized Official Name and Position | Akeeta Meaux-causey (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5034815523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Therapeutic Solutions, Llc 4784 N Lombard St Unit B183 Portland OR 97203-4565 Ph: (503) 481-5523 | Innovative Therapeutic Solutions, Llc 5268 N Harvard St Portland OR 97203-5258 Ph: (503) 481-5523 |
| NPI Number | 1821889478 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821889478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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