Organization
360 COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD POWELL OT/L (OWNER)
(503) 467-9794
Entity
Organization
Contact information
Practice address
12005 SW 70TH AVE, TIGARD, OR 97223-9634
(503) 467-9794
Mailing address
12005 SW 70TH, TIGARD, OR 97223
(503) 467-9794
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
677013
OR
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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