Kartini Clinic PC

NPI #1134205198 in Portland, Oregon

Provider Information

NPI Number: 1134205198
Entity Type: Organization
Organization Name: Kartini Clinic PC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Oct 31, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 3530 N VANCOUVER AVE STE 400
City: Portland
State: Oregon
ZIP Code: 97227-1798
Phone: (503) 249-8851

Authorized Official

Name: SHANNA GREENE
Title: COO
Phone: (503) 249-8851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Pediatrics	208000000X
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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