Organization
SOLSTICE GROUP, INC
Active
Parent organization
SOMATIC CENTER PORTLAND LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOMATIC CENTER PORTLAND LLC
Authorized official
DR. ALISSA BAZINET PHD (DIRECTOR OF CLINICAL SERVICES)
(619) 203-8403
Entity
Organization
Contact information
Practice address
959 SE DIVISION ST STE 315, PORTLAND, OR 97214-4673
(971) 369-8690
Mailing address
959 SE DIVISION ST STE 315, PORTLAND, OR 97214-4673
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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