Provider Demographics
NPI:1073969135
Name:PROGRESSIVE COUNSELING SERVICES GREENBURG
Entity Type:Organization
Organization Name:PROGRESSIVE COUNSELING SERVICES GREENBURG
Other - Org Name:PROGRESSIVE COUNSELING SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-821-7274
Mailing Address - Street 1:9370 SW GREENBURG ROAD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5429
Mailing Address - Country:US
Mailing Address - Phone:503-477-7505
Mailing Address - Fax:
Practice Address - Street 1:9370 SW GREENBURG ROAD
Practice Address - Street 2:SUITE 601
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-5429
Practice Address - Country:US
Practice Address - Phone:503-477-7505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROGESSIVE COUNSELING SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health