Deanne C Haisch Llc | |
8346 Sw Apple Way Apt V103 Portland OR 97225-7678 | |
(402) 319-2570 | |
Not Available |
Full Name | Deanne C Haisch Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8346 Sw Apple Way Apt V103, Portland, Oregon |
Authorized Official Name and Position | Deanne C Haisch (OWNER) |
Authorized Official Contact | 4023192570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deanne C Haisch Llc 8346 Sw Apple Way Apt V103 Portland OR 97225-7678 Ph: (402) 319-2570 | Deanne C Haisch Llc 8346 Sw Apple Way Apt V103 Portland OR 97225-7678 Ph: (402) 319-2570 |
NPI Number | 1427866441 |
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Provider Enumeration Date | 12/23/2024 |
Last Update Date | 12/23/2024 |
Certification Date | 12/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427866441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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