Provider Demographics
NPI:1942476189
Name:CEDAR COUNSELING CENTER
Entity Type:Organization
Organization Name:CEDAR COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA,
Authorized Official - Phone:503-407-6611
Mailing Address - Street 1:11975 SW 2ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-3042
Mailing Address - Country:US
Mailing Address - Phone:503-407-6611
Mailing Address - Fax:503-641-0981
Practice Address - Street 1:11975 SW 2ND ST STE 110
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3042
Practice Address - Country:US
Practice Address - Phone:503-407-6611
Practice Address - Fax:503-641-0981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health