| Fill Your Cupp Therapy Llc | |
|
14087 Sw Springbrook Ln Tigard OR 97223-2026 | |
| (971) 329-9568 | |
| Not Available |
| Full Name | Fill Your Cupp Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14087 Sw Springbrook Ln, Tigard, Oregon |
| Authorized Official Name and Position | Ana R Cupp (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9713299568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fill Your Cupp Therapy Llc 16200 Sw Pacific Hwy Ste H Tigard OR 97224-3471 Ph: () - | Fill Your Cupp Therapy Llc 14087 Sw Springbrook Ln Tigard OR 97223-2026 Ph: (971) 329-9568 |
| NPI Number | 1184450520 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184450520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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