Organization
MINDFUL HEALTH NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CHRISTENSEN MD (MEMBER)
(503) 476-1189
Entity
Organization
Contact information
Practice address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(503) 476-1189
(866) 650-8756
Mailing address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(503) 476-1189
(866) 650-8756
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD192693
OREGON STATE MEDICAL LICENSE
OR
Enumeration date
07/27/2021
Last updated
09/17/2021
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