| The Good Practice Llc | |
|
24780 S Beavercreek Rd Beavercreek OR 97004-8629 | |
| (323) 422-2867 | |
| Not Available |
| Full Name | The Good Practice Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 24780 S Beavercreek Rd, Beavercreek, Oregon |
| Authorized Official Name and Position | Monica Provence (OWNER) |
| Authorized Official Contact | 3234222867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Good Practice Llc 4141 Ne 65th Ave Portland OR 97218-3225 Ph: (323) 422-2867 | The Good Practice Llc 24780 S Beavercreek Rd Beavercreek OR 97004-8629 Ph: (323) 422-2867 |
| NPI Number | 1649117722 |
|---|---|
| Provider Enumeration Date | 04/29/2026 |
| Last Update Date | 04/29/2026 |
| Certification Date | 04/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649117722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |