Provider Demographics
NPI:1720771355
Name:POSCIMUR LLC
Entity Type:Organization
Organization Name:POSCIMUR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMSTED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-755-8988
Mailing Address - Street 1:19265 SE STARK ST STE B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-5758
Mailing Address - Country:US
Mailing Address - Phone:503-755-8988
Mailing Address - Fax:503-715-4943
Practice Address - Street 1:19265 SE STARK ST STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-5758
Practice Address - Country:US
Practice Address - Phone:503-755-8988
Practice Address - Fax:503-715-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty