Organization
PACIFIC PSYCHOLOGY AND COMPREHENSIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MONAHAN (BUSINESS MANAGER)
(503) 352-2404
Entity
Organization
Contact information
Practice address
1411 SW MORRISON AVE, SUITE 310, PORTLAND, OR 97205
(503) 750-2571
Mailing address
1411 SW MORRISON AVE, SUITE 310, PORTLAND, OR 97205
(503) 750-2571
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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