Organization
SUMMIT SUPPORT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBARIG H JAMA (OWNER)
(952) 683-0976
Entity
Organization
Contact information
Practice address
8885 SW CANYON RD STE 307, PORTLAND, OR 97225-3431
(952) 683-0976
Mailing address
8885 SW CANYON RD STE 307, PORTLAND, OR 97225-3431
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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