Organization
SPECTRUM COUNSELING AND MENTAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILYAN SMITH-MOORE (CHAIR)
(971) 373-4497
Entity
Organization
Contact information
Practice address
1220 SW MORRISON ST STE 1201, PORTLAND, OR 97205-2231
(971) 373-4497
Mailing address
101 SW MADISON ST UNIT 9152, PORTLAND, OR 97204-3264
(971) 373-4497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/19/2021
Last updated
01/08/2024
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