Organization
PROJECT QUEST
Active
Other names
Quest Center for Integrative health
Organization subpart
No
Provider details
NPI number
Authorized official
LEELA JACKIE LONGSON (CREDENTIALING SPECIALIST)
(503) 238-5203
Entity
Organization
Contact information
Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 238-5203
(503) 238-5202
Mailing address
PO BOX 86160, PORTLAND, OR 97286-0160
(503) 238-5203
(503) 238-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
964
OR
103TC1900X
Counseling Psychologist
1690
OR
103TC1900X
Counseling Psychologist
964
OR
171100000X
Acupuncturist
AC00106
OR
175F00000X
Naturopath
0896
OR
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO19964
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
087006211N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028298
—
OR
05
—
083373
—
OR
05
—
150591
—
OR
05
—
223347
—
OR
05
—
240090
—
OR
05
—
298940
—
OR
Enumeration date
07/04/2006
Last updated
03/02/2023
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