Organization
NORTHWEST ELITE MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUADO ABSHIR MADEY (CASE MANAGER/ CARE COORDINATOR)
(971) 601-8155
Entity
Organization
Contact information
Practice address
5109 SE 88TH AVE, PORTLAND, OR 97266-3816
(971) 601-8155
Mailing address
5109 SE 88TH AVE, PORTLAND, OR 97266-3816
(971) 601-8155
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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