NPI: 1891150983
Provider Name: PACIFIC BIPOLAR TREATMENT PROGRAM
Doing Business As: SHELLY B GETZLAF, PHD
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization
Specialization: Adult Mental Health
Address:
1675 SW MARLOW AVE
SUITE 305
PORTLAND, OR
ZIP 97225
Phone: (503) 646-4664
Get Directions
PACIFIC BIPOLAR TREATMENT PROGRAM is an adult mental health clinic center in Portland, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PACIFIC BIPOLAR TREATMENT PROGRAM NPI is 1891150983. The provider is registered as an organization entity type.
The provider Is Doing Business As Shelly B Getzlaf, Phd.
The provider's business location address is:
1675 SW MARLOW AVE
SUITE 305
PORTLAND, OR
ZIP 97225-104
Phone: (503) 646-4664
Fax: (503) 521-7041
The provider's authorized official is Shelly B Getzlaf .
The authorized official title is Owner and has the following contact phone number (503) 646-4664.
The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.