SELLWOOD COUNSELING SERVICES


Address: 6637 Se Milwaukie Ave, Ste. 204, Portland, OR 97202-5658
Phone: 5038514032

SELLWOOD COUNSELING SERVICES (NPI# 1841618253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841618253
Entity Type Organization
Organization Name SELLWOOD COUNSELING SERVICES
Practice Address 6637 Se Milwaukie Ave
Ste. 204
Portland
OR 97202-5658
Practice Telephone 5038514032
Practice Fax Number 5032549555
Mailing Telephone 5038514032
Mailing Fax Number 5032549555
Enumeration Date 2014-04-02
Last Update Date 2014-04-02
Authorized Official Name MS. LAURA KATHRYN STAHMAN (LICENSED PROFESSION COUNSELOR)
Authorized Official Telephone 5038514032
Authorized Official Credential M.A., L.P.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
3138 OR Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names SELLWOOD COUNSELING SERVICES 6637 Se Milwaukie Ave Ste 204, Portland, OR 97202

Office Location

Street Address 6637 SE MILWAUKIE AVE
STE. 204
City PORTLAND
State OR
Zip Code 97202-5658

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1700358314 Nikki Wetherell Counseling Clinic/Center 19 South St Ste 6, Portland, ME 04101-3963 2018-12-20
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1982140588 Columbiacare Services Clinic/Center 17720 Ne Halsey St # 1, Portland, OR 97230-6734 2017-01-06
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1194104026 Coastal Plains Community Mhmr Center Clinic/Center 200 Marriott Drive, Portland, TX 78374-2213 2015-05-26
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Competitor

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City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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