PACIFIC CREST COUNSELING CENTER LLC NPI 1033382916

NPI Information

PACIFIC CREST COUNSELING CENTER LLC is a mental health counselor in Portland, OR. PACIFIC CREST COUNSELING CENTER LLC NPI is 1033382916. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Innerwork Counseling Center.

The provider's business location address is:

8035 NE PRESCOTT ST
PORTLAND, OR
ZIP 97218-249
Phone: (503) 223-7719
Fax: (503) 255-4714

The provider's authorized official is Raymond W Peterson .
The authorized official title is Clinical Director and has the following contact phone number (503) 223-7719.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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