Organization
360 COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD POWELL OT/L (OWNER)
(503) 467-9794
Entity
Organization
Contact information
Practice address
12005 SW 70TH, TIGARD, OR 97223
(503) 467-9794
Mailing address
12005 SW 70TH AVE, TIGARD, OR 97223-9634
(503) 467-9794
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
677013
OR
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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