Collective Care Clinic, Llc

LBN: Collective Care Clinic, Llc
Collective Care Clinic, Llc is an health care organization with primary practice located at 1130 Sw Morrison St Ste 619 , Portland OR 97205-2217. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as the primary health care specialty. Collective Care Clinic, Llc can be contacted via phone (503) 313-0028, or through Davidson, Jill Ashley via phone (503) 313-0028.

Contact Information

Primary practice address
1130 Sw Morrison St Ste 619 Portland OR 97205-2217
Phone: (503) 313-0028
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Jill Ashley PSY.D
Phone: (503) 313-0028

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1780221499
LBN Legal business name Collective Care Clinic, Llc
DBA Doing business as
Authorized official Davidson, Jill Ashley PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2019
Last updated Dec 2nd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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