Organization
NORTHSIDE FAMILY COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E RAHE LCSW (DIRECTOR)
(503) 543-6164
Entity
Organization
Contact information
Practice address
51579 COLUMBIA RIVER HWY, STE 'I', SCAPPOOSE, OR 97056-8411
(503) 543-6164
(503) 543-6040
Mailing address
51579 COLUMBIA RIVER HWY, STE 'I', SCAPPOOSE, OR 97056-8411
(503) 543-6164
(503) 543-6040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1330
OR
1041C0700X
Clinical Social Worker
L2799
OR
106H00000X
Marriage & Family Therapist
T0349
OR
Other
Enumeration date
12/27/2006
Last updated
11/09/2009
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