| Birch Grove Counseling Llc | |
|
4720 River Rd N Keizer OR 97303-4536 | |
| (907) 388-4689 | |
| (503) 318-2212 |
| Full Name | Birch Grove Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4720 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Laurie Holland-klein (OWNER) |
| Authorized Official Contact | 9073884689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Grove Counseling Llc 4720 River Rd N Keizer OR 97303-4536 Ph: (907) 388-4689 | Birch Grove Counseling Llc 4720 River Rd N Keizer OR 97303-4536 Ph: (907) 388-4689 |
| NPI Number | 1164727954 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164727954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L4684 (Oregon) | Primary |
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