Organization
RESTORING BALANCE LLC
Active
Other names
Restoring Balance
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENSIE MARIE KEINER MSW, CSWA, QMHP (PSYCHOTHERAPIST)
(503) 713-5040
Entity
Organization
Contact information
Practice address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 749-9076
Mailing address
605 NW 118TH AVE UNIT 106, PORTLAND, OR 97229-6670
(503) 816-9211
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/04/2020
Last updated
08/24/2020
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