BASIC MINDFULNESS PORTLAND, LLC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1902128804- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1920 NW JOHNSON ST SUITE 103, PORTLAND, OR, 972091325
- Phone
- (503) 719-5499
Specialties & Taxonomies
Social Worker, Clinical
License: OR #4220
Psychologist, Clinical
Primary License: OR #1978