Organization
PORTALIS MENTAL HEALTH
Active
Other names
Portal Wellness Collective
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA C NELSON LICSW (OWNER)
(360) 672-0618
Entity
Organization
Contact information
Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(360) 672-0618
Mailing address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(360) 672-0618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
06/10/2025
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