Organization
PDX PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL HIRSCH (LPC)
(971) 319-3843
Entity
Organization
Contact information
Practice address
7325 N BURRAGE AVE, PORTLAND, OR 97217-5223
(971) 319-3843
Mailing address
7325 N BURRAGE AVE, PORTLAND, OR 97217-5223
(971) 319-3843
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033779582
—
OR
Enumeration date
09/30/2021
Last updated
09/30/2021
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