Organization
NORTHWEST FAMILY MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MICHELLE TINGLEY MSW (MSW, OWNER)
(503) 601-3770
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 303, PORTLAND, OR 97225-5104
(503) 601-3770
(503) 601-3775
Mailing address
1675 SW MARLOW AVE, SUITE 303, PORTLAND, OR 97225-5104
(503) 601-3770
(503) 601-3775
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
07/06/2015
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