| Cressall Psychiatric Llc | |
|
240 E 12th Ave Eugene OR 97401-3245 | |
| (541) 232-3131 | |
| (541) 357-9952 |
| Full Name | Cressall Psychiatric Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 240 E 12th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Cassandre Cressall (OWNER) |
| Authorized Official Contact | 5412323131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cressall Psychiatric Llc Po Box 42283 Eugene OR 97404-0600 Ph: (541) 232-3131 | Cressall Psychiatric Llc 240 E 12th Ave Eugene OR 97401-3245 Ph: (541) 232-3131 |
| NPI Number | 1891272324 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891272324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 201500826NP-PP (Oregon) | Primary |
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