Organization

Garrick Duckler, Llc

Adult Mental Health Clinic/Center in Portland, OR(View on Map)

Legal Business Name

Garrick Duckler, Llc

NPI Number

1588238042

NPI Type

Organization

Enumeration Date

05/18/2021

Specialties

(Taxonomies)

Code

261QM0850X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2279 NW IRVING ST
2279 NW IRVING ST

City

Portland
Portland

State

OR
OR

Postal Code

97210-3222
97210-3222

Country

US
US

Telephone Number

(415) 706-9745
(415) 706-9745

Authorized Official

Name

Garrick Duckler

Title or Position

OWNER

Telephone Number

(415) 706-9745

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/27/2021

Provider Address

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