Organization
PACIFIC MENTAL HEALTH OREGON LLC
Active
Parent organization
PACIFIC MENTAL HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC MENTAL HEALTH LLC
Authorized official
JEFFERY GOFF (CEO OWNER)
(425) 361-2273
Entity
Organization
Contact information
Practice address
830 NE HOLLADAY ST, PORTLAND, OR 97232-2104
(425) 582-2041
(425) 527-0468
Mailing address
5108 196TH ST SW, LYNNWOOD, WA 98036-6152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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