Organization
PNW-ADHD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CLIFFORD PA (CO-OWNER)
(303) 668-6784
Entity
Organization
Contact information
Practice address
7831 SE STARK ST STE 211, PORTLAND, OR 97215-2313
(303) 668-6784
Mailing address
2238 N FARRAGUT ST, PORTLAND, OR 97217-6425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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