Mitch Bacon LLC
Mitch Bacon LLC is a Marriage & Family Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4004 SE Woodstock Blvd #9Portland, OR 97202-7662
Phone: (503) 766-5255
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence T1282 (OR) |
|---|
Record details
| NPI number | 1962935312 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mitchell Bacon — Owner · (603) 667-3282 |
| Other names | Groundpdx |
| NPI enumerated | April 4, 2017 |
| Last updated in NPPES | April 4, 2017 |
| Mailing address | 7454 N Monteith Ave, Portland, OR 97203-4265 |
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