| Carolyn Waterfall Ms Lpc Llc | |
|
704 Main St Ste 305-8 Oregon City OR 97045-9704 | |
| (503) 686-3918 | |
| (503) 624-6352 |
| Full Name | Carolyn Waterfall Ms Lpc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 704 Main St Ste 305-8, Oregon City, Oregon |
| Authorized Official Name and Position | Carolyn Waterfall (OWNER/COUNSELOR) |
| Authorized Official Contact | 5036863918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Waterfall Ms Lpc Llc 12332 Sw 72nd Ave Ste 113 Portland OR 97223 Ph: (503) 686-3918 | Carolyn Waterfall Ms Lpc Llc 704 Main St Ste 305-8 Oregon City OR 97045-9704 Ph: (503) 686-3918 |
| NPI Number | 1083374805 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083374805 | NPI | - | NPPES |
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