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Organization
PACIFIC NORTHWEST BEHAVIORAL HEALTH, LLC
Active
Organization
PACIFIC NORTHWEST BEHAVIORAL HEALTH, LLC
Active
Other names
PNWBH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON CHRISTINE GULLION LPC (BUSINESS OWNER)
(971) 258-2120
Entity
Organization
Contact information
Practice address
6519 SE MILWAUKIE AVE, PORTLAND, OR 97202-5519
(971) 258-2120
(971) 200-2719
Mailing address
6519 SE MILWAUKIE AVENUE, PORTLAND, OR 97202
(971) 258-2120
(971) 200-2719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2054
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
OR
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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