Wild Hearts Pdx
Wild Hearts Pdx is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4531 SE Belmont St Ste 119Portland, OR 97215-1675
Phone: (503) 887-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1265253082 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shanako Devoll — President · (503) 887-6255 |
| NPI enumerated | October 23, 2024 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 23, 2024 |
| Mailing address | 4531 Se Belmont St Ste 119, Portland, OR 97215-1675 |
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