Organization
FAMILY GROUND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE R CHAPMAN LCSW (OWNER/ SOCIAL WORKER)
(503) 703-9860
Entity
Organization
Contact information
Practice address
712 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3538
(503) 703-9860
Mailing address
PO BOX 15190, PORTLAND, OR 97293-5190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L5973
OR
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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