| Chehalem Youth & Family Services | |
|
504 Villa Rd Ste 3 Newberg OR 97132-1851 | |
| (503) 538-4874 | |
| (503) 538-1271 |
| Full Name | Chehalem Youth & Family Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 504 Villa Rd Ste 3, Newberg, Oregon |
| Authorized Official Name and Position | Stacy Gingerich (CLINICAL SERVICES MANAGER) |
| Authorized Official Contact | 5035384874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chehalem Youth & Family Services 504 Villa Rd Ste 3 Newberg OR 97132-1851 Ph: (503) 538-4874 | Chehalem Youth & Family Services 504 Villa Rd Ste 3 Newberg OR 97132-1851 Ph: (503) 538-4874 |
| NPI Number | 1750512661 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750512661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | NA FOR THIS TYPE (Oregon) | Primary |
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