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 |
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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 |
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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 |
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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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