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Organization
MINDFUL OREGON CLINIC
Active
Organization
MINDFUL OREGON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIN YEKEKAR LCSW (CO-FOUNDER & CEO)
(971) 270-0116
Entity
Organization
Contact information
Practice address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
(971) 270-0116
Mailing address
1915 NE STUCKI AVE STE 308, HILLSBORO, OR 97006-6951
(971) 325-7537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
10/27/2024
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