Organization
PURE SELF COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA CANO LPC (OWNER)
(503) 908-2530
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST STE 500, PORTLAND, OR 97205-2574
(503) 908-2530
Mailing address
1020 SW TAYLOR ST STE 500, PORTLAND, OR 97205-2574
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up