Deaf Mental Health Oregon, Llc | |
37 Sw Jefferson St Portland OR 97201-5129 | |
(503) 437-9287 | |
(503) 406-2569 |
Full Name | Deaf Mental Health Oregon, Llc |
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Speciality | Psychologist |
Location | 37 Sw Jefferson St, Portland, Oregon |
Authorized Official Name and Position | Brian Daniel Hartman (OWNER) |
Authorized Official Contact | 5034379287 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deaf Mental Health Oregon, Llc Po Box 8189 Salem OR 97303-0255 Ph: (503) 437-9287 | Deaf Mental Health Oregon, Llc 37 Sw Jefferson St Portland OR 97201-5129 Ph: (503) 437-9287 |
NPI Number | 1245531946 |
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Provider Enumeration Date | 11/11/2010 |
Last Update Date | 11/11/2010 |
Identifier | Type | State | Issuer |
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1245531946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1926 (Oregon) | Primary |
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