| Theresa J Page | |
|
3419 Ne Sandy Blvd Portland OR 97232-1959 | |
| (503) 282-6267 | |
| Not Available |
| Full Name | Theresa J Page |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3419 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Alina Grimsted (BILLING/CREDENTIALING) |
| Authorized Official Contact | 5037558988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa J Page 3419 Ne Sandy Blvd Portland OR 97232-1959 Ph: (503) 282-6267 | Theresa J Page 3419 Ne Sandy Blvd Portland OR 97232-1959 Ph: (503) 282-6267 |
| NPI Number | 1245028364 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245028364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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