| Mindful Path | |
|
1733 N Farragut St Portland OR 97217-6517 | |
| (503) 544-3680 | |
| (503) 343-6185 |
| Full Name | Mindful Path |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1733 N Farragut St, Portland, Oregon |
| Authorized Official Name and Position | Corri Rekart (OWNER) |
| Authorized Official Contact | 5035443680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Path 4784 N Lombard St Ste B1077 Portland OR 97203-4565 Ph: (503) 544-3680 | Mindful Path 1733 N Farragut St Portland OR 97217-6517 Ph: (503) 544-3680 |
| NPI Number | 1942196886 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942196886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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