# NORTHWEST FAMILY MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457763443
- **Authorized official:** CHRISTINA MICHELLE TINGLEY MSW (MSW, OWNER)
- **Authorized official phone:** (503) 601-3770

## Contact information

- **Practice address:** 1675 SW MARLOW AVE, SUITE 303, PORTLAND, OR 97225-5104
- **Practice address phone:** (503) 601-3770
- **Practice address fax:** (503) 601-3775
- **Mailing address:** 1675 SW MARLOW AVE, SUITE 303, PORTLAND, OR 97225-5104
- **Mailing address phone:** (503) 601-3770
- **Mailing address fax:** (503) 601-3775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2014
- **Last updated:** 07/06/2015