Owls Nest North Therapy Joint
Marriage & Family Therapist in Portland, OR. Organization (NPI-2).
NPI number1376948232
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1376948232
- Entity type
- Organization (NPI-2)
- Legal business name
- Owls Nest North Therapy Joint
- Organization subpart
- No
- Enumeration date
- Nov 4, 2014
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T0691 | OR | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 103T00000X | Psychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
3615 Ne Grand AvePortland, OR 97212-2104
Phone 503-281-1166 · Fax 503-281-0787
Mailing address
3615 Ne Grand AvePortland, OR 97212-2104
Authorized official
Kristi Erlich
Owner
5032811166
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