NPI 1740909191
Isabelle Megan Couch
Practice location
- Address
- 3415 SE Powell Blvd, Portland, OR 97202-3371
- Phone
- (503) 234-9591
- Mailing address
- 6007 SW Karla CT, Portland, OR 97239-1187
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1740909191
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Aug 2022
- Record last updated
- 26 Aug 2022
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.