Isabelle Megan Couch

NPI #1740909191 in Portland, Oregon

Provider Information

NPI Number
1740909191
Entity Type
Individual
Name
Isabelle Megan Couch
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 26, 2022
Last Updated
Aug 26, 2022

Practice Location

Address
3415 SE POWELL BLVD
State
Oregon
ZIP Code
97202-3371
Phone
(503) 234-9591

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness
Residential Treatment Facility, Emotionally Disturbed Children

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