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Organization
CAMPFIRE PRACTICE LLC.
Active
Organization
CAMPFIRE PRACTICE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNE ZEWADSKI CLIFTON (OWNER)
(503) 683-2083
Entity
Organization
Contact information
Practice address
333 SW TAYLOR ST STE 200, PORTLAND, OR 97204-2446
(503) 683-2083
Mailing address
333 SW TAYLOR ST STE 200, PORTLAND, OR 97204-2446
(503) 683-2083
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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