Online Payment

Pay using our secure online payment form below

Name*
First Last
Email*
Phone*
Account Number*
Payment Amount*
Total Payment
$0.00
Credit Card Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

For more information, please email our billing department at billing@newheightstherapy.com

(971) 245-6217 West Portland
(503) 236-3108 East Portland
(360) 737-3346 Vancouver Clinic

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Online Payment in Portland OR and Vancouver WA