Owls Nest North Therapy Joint

LBN: Owls Nest North Therapy Joint
Owls Nest North Therapy Joint is an health care organization with primary practice located at 3615 Ne Grand Ave , Portland OR 97212-2104. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Owls Nest North Therapy Joint can be contacted via phone (503) 281-1166, or through Erlich, Kristi via phone (503) 281-1166.

Contact Information

Primary practice address
3615 Ne Grand Ave Portland OR 97212-2104
Phone: (503) 281-1166
Fax: (503) 281-0787
Website:
Map and Directions
Authorized official contact:
Name: Erlich, Kristi LMFT
Phone: (503) 281-1166

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0691 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1376948232
LBN Legal business name Owls Nest North Therapy Joint
DBA Doing business as
Authorized official Erlich, Kristi LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2014
Last updated Mar 6th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376948232 NPPES
Oregon MEDICAID 500643178 MCD

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