| Mindful Kinetics Llc | |
|
1210 Se Oak St Ste 6 Portland OR 97214-1427 | |
| (503) 454-6481 | |
| Not Available |
| Full Name | Mindful Kinetics Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1210 Se Oak St Ste 6, Portland, Oregon |
| Authorized Official Name and Position | Nathan Becker (OWNER) |
| Authorized Official Contact | 5034546481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Kinetics Llc 1210 Se Oak St Ste 6 Portland OR 97214-1427 Ph: () - | Mindful Kinetics Llc 1210 Se Oak St Ste 6 Portland OR 97214-1427 Ph: (503) 454-6481 |
| NPI Number | 1023879160 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023879160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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