Organization
MIND SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE CHRISTOPHER MASON PSS (OWNER)
(503) 206-8856
Entity
Organization
Contact information
Practice address
11 SW GIBBS ST, PORTLAND, OR 97239-4660
(503) 206-8856
Mailing address
3311 NE MLK JR BLVD, PORTLAND, OR 97212-2086
(503) 206-8856
(503) 327-8318
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
11/01/2023
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