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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

NPI Number 1023866878
LBN Legal business name 4D TREATMENT MENTOR SERVICES
Authorized official NICHOLAS CRAPSER - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/07/2024
Last updated 05/07/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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