WEST LINN CLEMENTINE, INC is an adolescent and children mental health clinic center in West Linn, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. WEST LINN CLEMENTINE, INC NPI is 1023562147. The provider is registered as an organization entity type.
The provider Is Doing Business As Clementine Portland.
The provider's business location address is:
1148 ROSEMONT RD
WEST LINN, OR
ZIP 97068-235
Phone: (971) 249-8448
Fax: (503) 305-7100
The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.
The CLIA number assigned to this NPI record is 38D2128709 - other - residential treatment ctr with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/5/2016 and was last updated on 3/4/2020.