Provider Demographics
NPI:1972350262
Name:PANORAMIC PDX LLC
Entity type:Organization
Organization Name:PANORAMIC PDX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLIGA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-694-9600
Mailing Address - Street 1:4417 NE KILLINGSWORTH ST UNIT 112
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97218-1471
Mailing Address - Country:US
Mailing Address - Phone:503-694-9600
Mailing Address - Fax:
Practice Address - Street 1:4417 NE KILLINGSWORTH ST UNIT 112
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97218-1471
Practice Address - Country:US
Practice Address - Phone:503-694-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty