Provider Demographics
NPI:1235548496
Name:BIRCHWOOD COUNSELING, LLC
Entity Type:Organization
Organization Name:BIRCHWOOD COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BICE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:503-433-6016
Mailing Address - Street 1:825 NE 20TH AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2299
Mailing Address - Country:US
Mailing Address - Phone:503-433-6016
Mailing Address - Fax:971-229-4723
Practice Address - Street 1:825 NE 20TH AVE STE 225
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2299
Practice Address - Country:US
Practice Address - Phone:503-433-6016
Practice Address - Fax:971-229-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500623184Medicaid