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Contact Information

4D TREATMENT MENTOR SERVICES
11010 SE DIVISION ST STE 200
PORTLAND, OR97266-6400
 Phone: 971-422-0044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for 4D TREATMENT MENTOR SERVICES · (Female)

NPI Number 1023866878
Status Active
Credentials
Entity Individual
Enumeration date 05/07/2024
Last updated 05/07/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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