| Evolving Hearts Therapy Inc | |
|
215 N Meridian St Ste 201 Newberg OR 97132-2756 | |
| (503) 383-1171 | |
| Not Available |
| Full Name | Evolving Hearts Therapy Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 215 N Meridian St Ste 201, Newberg, Oregon |
| Authorized Official Name and Position | Anna M Carvajal (CEO) |
| Authorized Official Contact | 5037998210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Hearts Therapy Inc 215 N Meridian St Ste 201 Newberg OR 97132-2756 Ph: (503) 383-1171 | Evolving Hearts Therapy Inc 215 N Meridian St Ste 201 Newberg OR 97132-2756 Ph: (503) 383-1171 |
| NPI Number | 1831917434 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831917434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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