| Dawn J Williamson Lcsw Llc | |
|
211 Sw 7th St Dundee OR 97115-9536 | |
| (503) 537-3927 | |
| Not Available |
| Full Name | Dawn J Williamson Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 211 Sw 7th St, Dundee, Oregon |
| Authorized Official Name and Position | Debra Jushae-sieber (BILLING) |
| Authorized Official Contact | 5035373927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn J Williamson Lcsw Llc 211 Sw 7th St Dundee OR 97115-9536 Ph: (503) 537-3927 | Dawn J Williamson Lcsw Llc 211 Sw 7th St Dundee OR 97115-9536 Ph: (503) 537-3927 |
| NPI Number | 1447890108 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 02/28/2020 |
| Certification Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447890108 | NPI | - | NPPES |
| 105216 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Life Reformation Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Se Edwards Dr, Dundee, OR 97115 Phone: 971-732-6614 |