| Moving Forward Staying Present Llc | |
|
8083 Se 13th Ave Ste 3 Portland OR 97202-6668 | |
| (206) 327-8592 | |
| Not Available |
| Full Name | Moving Forward Staying Present Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8083 Se 13th Ave Ste 3, Portland, Oregon |
| Authorized Official Name and Position | Maria Williquette (LMFT) |
| Authorized Official Contact | 2063278592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Forward Staying Present Llc 8083 Se 13th Ave Ste 3 Portland OR 97202-6668 Ph: (206) 327-8592 | Moving Forward Staying Present Llc 8083 Se 13th Ave Ste 3 Portland OR 97202-6668 Ph: (206) 327-8592 |
| NPI Number | 1649896630 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 8325571193 |
|---|---|
| Medicare Enrollment ID | O20241031003374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649896630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Maria Williquette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790095883 PECOS PAC ID: 5698208460 Enrollment ID: I20241203002582 |
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