| Dawn Sly Lcsw, Inc. | |
|
122 Ne 47th St Newport OR 97365-1429 | |
| (541) 270-4660 | |
| (541) 574-0821 |
| Full Name | Dawn Sly Lcsw, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 122 Ne 47th St, Newport, Oregon |
| Authorized Official Name and Position | Dawn Sly (OWNER/PRESIDENT) |
| Authorized Official Contact | 5412704660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Sly Lcsw, Inc. Po Box 898 Creswell OR 97426-0898 Ph: () - | Dawn Sly Lcsw, Inc. 122 Ne 47th St Newport OR 97365-1429 Ph: (541) 270-4660 |
| NPI Number | 1598942922 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 08/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598942922 | NPI | - | NPPES |
| 500604911 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2786 (Oregon) | Primary |
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