| Pdx Psychotherapy Llc | |
|
2080 Nw Everett St Suite 102 Portland OR 97209-1054 | |
| (503) 893-5721 | |
| Not Available |
| Full Name | Pdx Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2080 Nw Everett St, Portland, Oregon |
| Authorized Official Name and Position | Sean Erik Barnett (THERAPIST) |
| Authorized Official Contact | 5038935721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdx Psychotherapy Llc 2080 Nw Everett St Suite 102 Portland OR 97209-1054 Ph: (503) 893-5721 | Pdx Psychotherapy Llc 2080 Nw Everett St Suite 102 Portland OR 97209-1054 Ph: (503) 893-5721 |
| NPI Number | 1215301544 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215301544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Oregon) | Primary |
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