Oregan Change Clinic

LBN: Oregon Change Clinic, Llc
Oregan Change Clinic is an health care organization with primary practice located at 1817 Ne 6Th Ave , Portland OR 97212-3960. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Oregon Change Clinic, Llc can be contacted via phone (909) 455-4838, or through Jones, Shannon via phone (909) 455-4838.

Contact Information

Primary practice address
1817 Ne 6Th Ave Portland OR 97212-3960
Phone: (909) 455-4838
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Shannon MS, MFT
Phone: (909) 455-4838

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1881293215
LBN Legal business name Oregon Change Clinic, Llc
DBA Doing business as Oregan Change Clinic
Authorized official Jones, Shannon MS, MFT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2020
Last updated Jan 11th, 2024 - about last year

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.

Request for update

Popular Providers