INTERCULTUAL PSYCHIATRIC PROGAM
Managed Care Organizations at 35 Pl, Portland, OR

License number
Oregon 01301974
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MRS. AMBIKA KAPHLE QMHA
Title: QUALIFIED MENTAL HEALTH ASSOCIATE
Phone: (503) 418-5063
Address
Address
3633 SE 35Th Pl, Portland, OR 97202
National Provider ID: 1679703458
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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