Organization
PORTLAND COMPASSIONATE CARE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ADONIS-LEE JOHNSON PSS (OWNER/OFFICE MANAGER)
(503) 714-7976
Entity
Organization
Contact information
Practice address
920 SW 6TH AVE, PORTLAND, OR 97204-1239
(503) 714-7976
(503) 506-6472
Mailing address
2211 SW 4TH AVE APT 617, PORTLAND, OR 97201-4938
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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