Connections365 | |
4890 32nd Ave Se Salem OR 97317 | |
(503) 588-5647 | |
(503) 779-1992 |
Full Name | Connections365 |
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Speciality | Community/behavioral Health |
Location | 4890 32nd Ave Se, Salem, Oregon |
Authorized Official Name and Position | Debohra Ann Lute (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5035885647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Connections365 4890 32nd Ave Se Salem OR 97317 Ph: (503) 588-5647 | Connections365 4890 32nd Ave Se Salem OR 97317 Ph: (503) 588-5647 |
NPI Number | 1174698971 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 05/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174698971 | NPI | - | NPPES |
240040 | Medicaid | OR |
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