| Evergreen Mountains Therapy And Consulting, Llc. | |
|
309 17th St Oregon City OR 97045-1032 | |
| (503) 260-0969 | |
| Not Available |
| Full Name | Evergreen Mountains Therapy And Consulting, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 309 17th St, Oregon City, Oregon |
| Authorized Official Name and Position | David W Sant (ADMINISTRATOR) |
| Authorized Official Contact | 5032600969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Mountains Therapy And Consulting, Llc. 309 17th St Oregon City OR 97045-1032 Ph: () - | Evergreen Mountains Therapy And Consulting, Llc. 309 17th St Oregon City OR 97045-1032 Ph: (503) 260-0969 |
| NPI Number | 1568858363 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568858363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L6297 (Oregon) | Primary |
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