| Beyond The Self, Llc | |
|
5305 River Rd N Ste B Keizer OR 97303-5324 | |
| (503) 862-8238 | |
| Not Available |
| Full Name | Beyond The Self, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5305 River Rd N Ste B, Keizer, Oregon |
| Authorized Official Name and Position | Aneta Bujno (OWNER) |
| Authorized Official Contact | 5038628238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Self, Llc 304 Ne Multnomah St Apt 510 Portland OR 97232-3615 Ph: (503) 862-8238 | Beyond The Self, Llc 5305 River Rd N Ste B Keizer OR 97303-5324 Ph: (503) 862-8238 |
| NPI Number | 1396340550 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396340550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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