| Organization Name: | NORTHSIDE FAMILY COUNSELING, INC |
| NPI Number: | 1871658997 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES E RAHE (DIRECTOR) |
| Mailing Address: | 51579 Columbia River Hwy Ste 'i' Scappoose |
| State: | OR US |
| Postal Code: | 970568411 |
| Phone Number: | 5035436164 |
| Fax Number: | 5035436040 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 11/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L2799 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |