| Oldtown Counseling and Consultation, LLC | |
|
4295 Sw Tegart Ln Gresham OR 97080-8653 | |
| (971) 425-6524 | |
| Not Available |
| Full Name | Oldtown Counseling and Consultation, LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4295 Sw Tegart Ln, Gresham, Oregon |
| Authorized Official Name and Position | Ryan Altstadt (COUNSELOR; MEMBER) |
| Authorized Official Contact | 9714256524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oldtown Counseling and Consultation, LLC 4295 Sw Tegart Ln Gresham OR 97080-8653 Ph: (971) 425-6524 | Oldtown Counseling and Consultation, LLC 4295 Sw Tegart Ln Gresham OR 97080-8653 Ph: (971) 425-6524 |
| NPI Number | 1134058001 |
|---|---|
| Provider Enumeration Date | 05/18/2026 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134058001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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