| Davenport Mental Health, Llc | |
|
615 N 1st Ave Stayton OR 97383-1704 | |
| (503) 877-4574 | |
| Not Available |
| Full Name | Davenport Mental Health, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 615 N 1st Ave, Stayton, Oregon |
| Authorized Official Name and Position | Katherine Davenport (OWNER) |
| Authorized Official Contact | 5038774574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Mental Health, Llc 910 N 8th St Aumsville OR 97325-8917 Ph: () - | Davenport Mental Health, Llc 615 N 1st Ave Stayton OR 97383-1704 Ph: (503) 877-4574 |
| NPI Number | 1235901679 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235901679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Gathered & Wise Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Burnett St, Stayton, OR 97383 Phone: 541-704-7511 Fax: 541-325-4082 |