| Adagio Therapy Center, Llc | |
|
388 State St Suite 707 Salem OR 97301-3866 | |
| (818) 253-9264 | |
| Not Available |
| Full Name | Adagio Therapy Center, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 388 State St, Salem, Oregon |
| Authorized Official Name and Position | Martha Wang (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8182539264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adagio Therapy Center, Llc 388 State St Suite 707 Salem OR 97301-3866 Ph: () - | Adagio Therapy Center, Llc 388 State St Suite 707 Salem OR 97301-3866 Ph: (818) 253-9264 |
| NPI Number | 1659758167 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659758167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2518 (Oregon) | Primary |
| 1041C0700X | Social Worker - Clinical | L6113 (Oregon) | Secondary |
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