| Portland Compassionate Care Consulting | |
|
920 Sw 6th Ave Portland OR 97204-1239 | |
| (503) 714-7976 | |
| (503) 506-6472 |
| Full Name | Portland Compassionate Care Consulting |
|---|---|
| Speciality | Peer Specialist |
| Location | 920 Sw 6th Ave, Portland, Oregon |
| Authorized Official Name and Position | Alexander Adonis-lee Johnson (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 5037147976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Compassionate Care Consulting 2211 Sw 4th Ave Apt 617 Portland OR 97201-4938 Ph: () - | Portland Compassionate Care Consulting 920 Sw 6th Ave Portland OR 97204-1239 Ph: (503) 714-7976 |
| NPI Number | 1326736083 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326736083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
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Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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