| |
5200 Meadows Rd Ste 200 Lake Oswego OR 97035-0086 | |
(971) 287-7112 | |
(503) 386-3232 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 5200 Meadows Rd Ste 200, Lake Oswego, Oregon |
Authorized Official Name and Position | Hannah Byers (OWNER & CLINICIAN) |
Authorized Official Contact | 9712877112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5200 Meadows Rd Ste 200 Lake Oswego OR 97035-0086 Ph: (971) 287-7112 | 5200 Meadows Rd Ste 200 Lake Oswego OR 97035-0086 Ph: (971) 287-7112 |
NPI Number | 1689263006 |
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Provider Enumeration Date | 01/11/2021 |
Last Update Date | 12/01/2023 |
Certification Date | 12/01/2023 |
Identifier | Type | State | Issuer |
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1689263006 | NPI | - | NPPES |
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