Pinko Therapeutics Llc | |
5 Se 69th Ave Portland OR 97215-1336 | |
(623) 308-2472 | |
Not Available |
Full Name | Pinko Therapeutics Llc |
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Speciality | Counselor - Mental Health |
Location | 5 Se 69th Ave, Portland, Oregon |
Authorized Official Name and Position | Nathan Leach (OWNER) |
Authorized Official Contact | 4802485254 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pinko Therapeutics Llc 5 Se 69th Ave Portland OR 97215-1336 Ph: () - | Pinko Therapeutics Llc 5 Se 69th Ave Portland OR 97215-1336 Ph: (623) 308-2472 |
NPI Number | 1508752866 |
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Provider Enumeration Date | 06/14/2025 |
Last Update Date | 06/14/2025 |
Certification Date | 06/14/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508752866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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