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Organization
NORTHWEST FAMILY MENTAL HEALTH SERVICES LLC
Active
Organization
NORTHWEST FAMILY MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MICHELLE TINGLEY MSW (MSW, OWNER)
(503) 601-3770
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 303, PORTLAND, OR 97225-5104
(503) 601-3770
(503) 601-3775
Mailing address
1675 SW MARLOW AVE, SUITE 303, PORTLAND, OR 97225-5104
(503) 601-3770
(503) 601-3775
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/23/2014
Last updated
07/06/2015
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