| Restorative Family Balance Llc | |
|
6118 Se Belmont St Ste 502 Portland OR 97215-1983 | |
| (503) 567-6140 | |
| Not Available |
| Full Name | Restorative Family Balance Llc |
|---|---|
| Speciality | Counselor |
| Location | 6118 Se Belmont St Ste 502, Portland, Oregon |
| Authorized Official Name and Position | Rachel Kendall (CEO) |
| Authorized Official Contact | 5303784027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Family Balance Llc 4949 S Macadam Ave Ste 97 Portland OR 97239-3912 Ph: (503) 567-6140 | Restorative Family Balance Llc 6118 Se Belmont St Ste 502 Portland OR 97215-1983 Ph: (503) 567-6140 |
| NPI Number | 1023860582 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Medicare PECOS PAC ID | 8022548767 |
|---|---|
| Medicare Enrollment ID | O20250210002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023860582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rachel J Kendall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386104586 PECOS PAC ID: 0840720587 Enrollment ID: I20250210002703 |
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