<Unavail>

LBN: Mitch Bacon Llc
<Unavail> is an health care organization with primary practice located at 4004 Se Woodstock Blvd #9, Portland OR 97202-7662. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Mitch Bacon Llc can be contacted via phone (503) 766-5255, or through Bacon, Mitchell via phone (603) 667-3282.

Contact Information

Primary practice address
4004 Se Woodstock Blvd #9 Portland OR 97202-7662
Phone: (503) 766-5255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bacon, Mitchell LMFT
Phone: (603) 667-3282

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T1282 Oregon

Profile Details

NPI number 1962935312
LBN Legal business name Mitch Bacon Llc
DBA Doing business as <Unavail>
Authorized official Bacon, Mitchell LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2017
Last updated Apr 4th, 2017 - about 9 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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