# REWORK BEHAVIORAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1619599545
- **Authorized official:** WESLEY COX (OWNER/OPERATIONS)
- **Authorized official phone:** (503) 732-0273

## Contact information

- **Practice address:** 7724 SE ASPEN SUMMIT DR STE 300, PORTLAND, OR 97266-9217
- **Practice address phone:** (503) 732-0273
- **Mailing address:** 7724 SE ASPEN SUMMIT DR STE 300, PORTLAND, OR 97266-9217
- **Mailing address phone:** (503) 732-0273

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2020
- **Last updated:** 10/15/2020