ACG GROUP LLC
THE LILITH CLINIC · Clinic/Center

Address: 511 Sw 10th Ave Ste 904, Portland, OR 97205-2710

ACG GROUP LLC (NPI# 1760076392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760076392
Entity Type Organization
Organization Name ACG GROUP LLC
Other Organization Name THE LILITH CLINIC (Doing Business As Name)
Practice Address 511 Sw 10th Ave Ste 904
Portland
OR 97205-2710
Practice Telephone 5032211870
Practice Fax Number 5033897945
Mailing Address 511 Sw 10th Ave Ste 904
Portland
OR 97205-2710
Mailing Telephone 5032211870
Mailing Fax Number 5033897945
Certification Date 2021-03-30
Enumeration Date 2021-02-24
Last Update Date 2021-03-30
Authorized Official Telephone 5038840842
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lilith Clinic Doing Business As Name
The Lilith Clinic Doing Business As Name

Office Location

Street Address 511 SW 10TH AVE STE 904
City PORTLAND
State OR
Zip Code 97205-2710

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619483096 Ryan Wade Brown Counselor · Professional 511 Sw 10th Ave Ste 905, Portland, OR 97205-2710 2017-12-20
1841848884 Sarah Shaw Glidden Counselor · Mental Health 511 Sw 10th Ave Ste 905, Portland, OR 97205-2710 2019-09-03
1902307648 Live True Counseling, LLC Clinic/Center · Adult Mental Health 511 Sw 10th Ave Ste 905, Portland, OR 97205-2710 2018-02-27

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1952906778 Synaptic Integrative Care LLC Naturopath 1020 Sw Taylor St. Ste 650, Portland, OR 97205 2020-12-01
1871026062 Leila Soltani Dentist · Periodontics 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor · Mental Health 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1386003168 Polly Gravely Counselor · Mental Health 833 Sw 11th Ave Ste 729, Portland, OR 97205 2016-02-22
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1285004671 Christina Nannette Mendoza Counselor · Mental Health 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
Find all providers in zip 97205

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548849813 Mcjv Medical Partners, LLC 616 Elm St, Portland, TX 78374-1714 2021-04-05
1417533795 Pearl Natural Health LLC 111 Ne Jessup St, Portland, OR 97211-2517 2021-03-18
1811572860 Another Chance Clinical Services LLC 12670 Nw Barnes Rd Ste 200, Portland, OR 97229-9001 2021-03-11
1003410150 Jenna Halbert, Nd LLC 333 Ne Russell St Ste 207, Portland, OR 97212-3763 2020-11-29
1801413240 Gfm LLC 1235 Se Division St Ste 114, Portland, OR 97202-1042 2020-07-01
1053938787 Roseanne Lawrence Massage LLC 1820 Sw Vermont St, Portland, OR 97219-1945 2020-06-29
1134750037 Legacy Good Samaritan Hospital and Medical Center 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 2020-01-29
1114561735 Connective Therapy Collective · Connective Therapy Collective 4531 Se Belmont St Ste 117, Portland, OR 97215-1675 2019-11-06
1679030290 Yoana Kanev 3701 Sw Condor Ave Apt C1, Portland, OR 97239-4158 2019-03-01
1841760584 Orthopedic Needle LLC 328 Ne Failing St Ste C, Portland, OR 97212-1157 2018-11-26
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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