| Easter Seals Oregon Children's Therapy Center | |
|
290 Moyer Ln Nw Salem OR 97304-3822 | |
| (503) 370-8990 | |
| (503) 363-4214 |
| Full Name | Easter Seals Oregon Children's Therapy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 290 Moyer Ln Nw, Salem, Oregon |
| Authorized Official Name and Position | Tedra Mandell (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 5033708990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Oregon Children's Therapy Center 290 Moyer Ln Nw Salem OR 97304-3822 Ph: (503) 370-8990 | Easter Seals Oregon Children's Therapy Center 290 Moyer Ln Nw Salem OR 97304-3822 Ph: (503) 370-8990 |
| NPI Number | 1720315120 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720315120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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