Restoring Balance LLC

NPI #1003441536 in Beaverton, Oregon

Provider Information

NPI Number: 1003441536
Entity Type: Organization
Organization Name: Restoring Balance LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 4, 2020
Last Updated: Aug 24, 2020

Practice Location

Address: 12725 SW MILLIKAN WAY STE 300
City: Beaverton
State: Oregon
ZIP Code: 97005-1687
Phone: (503) 749-9076

Authorized Official

Name: MACKENSIE MARIE KEINER, MSW, CSWA, QMHP
Title: PSYCHOTHERAPIST
Phone: (503) 713-5040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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