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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC

Active Organization

MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC is a Professional Counselor organization located in PORTLAND, Oregon. NPI 1104333103 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PORTLAND, OR

Registration Details

NPI Number
1104333103
Provider Type
Organization
NPI Issued
Dec 29, 2017 (8.6423911818824 yrs)
Last Updated
Jun 16, 2018
Licenses
C4036 (OR)
C4036 (OR)

Practice Information

Address
650 NE HOLLADAY ST STE 16001614
PORTLAND, OR, 972322045
Browse OR providers · Browse ZIP 97232
Phone
5033673630
Fax
5032243126
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Community/Behavioral Health
Additional Specialty
Professional Counselor

Other Professional Counselor Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.