NPI 1003441536
Restoring Balance LLC
Practice location
- Address
- 12725 SW Millikan Way STE 300, Beaverton, OR 97005-1687
- Phone
- (503) 749-9076
- Mailing address
- 605 NW 118th Ave Unit 106, Portland, OR 97229-6670
Authorised official
- Name
- Mackensie Marie Keiner
- Title
- Psychotherapist
- Phone
- (503) 713-5040
Registered specialties (3)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Registry record
- NPI
- 1003441536
- Entity type
- Organization
- NPI issued
- 4 Mar 2020
- Record last updated
- 24 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.