| Breaking Chains Therapy Llc | |
|
710c E Foothills Dr. Suite 103 Newberg OR 97132-6125 | |
| (503) 964-7642 | |
| Not Available |
| Full Name | Breaking Chains Therapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 710c E Foothills Dr., Newberg, Oregon |
| Authorized Official Name and Position | Corrina Brandstetter (OWNER) |
| Authorized Official Contact | 5039647642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Chains Therapy Llc 710c E Foothills Dr. Suite 103 Newberg OR 97132-6125 Ph: (503) 964-7642 | Breaking Chains Therapy Llc 710c E Foothills Dr. Suite 103 Newberg OR 97132-6125 Ph: (503) 964-7642 |
| NPI Number | 1083160931 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083160931 | NPI | - | NPPES |
| 1376735027 | Other | OR | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1880 (Oregon) | Primary |
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