Organization
HEALTH ALLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY KETTERMANN LPC, LMHC, CADCI (PRESIDENT)
(971) 270-0167
Entity
Organization
Contact information
Practice address
2926 NE FLANDERS ST STE 3C, PORTLAND, OR 97232-3259
(971) 270-0167
Mailing address
2926 NE FLANDERS ST STE 3C, PORTLAND, OR 97232-3259
(971) 270-0167
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
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
08/08/2019
Last updated
08/08/2019
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