| Hart | |
|
6665 Rickreall Rd Independence OR 97351-9630 | |
| (971) 301-4278 | |
| Not Available |
| Full Name | Hart |
|---|---|
| Speciality | Occupational Therapist |
| Location | 6665 Rickreall Rd, Independence, Oregon |
| Authorized Official Name and Position | Susanne J Wainman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5035107643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hart 6665 Rickreall Rd Independence OR 97351-9630 Ph: (971) 301-4278 | Hart 6665 Rickreall Rd Independence OR 97351-9630 Ph: (971) 301-4278 |
| NPI Number | 1407305501 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407305501 | NPI | - | NPPES |
| 500615564 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | A5573 (Oregon) | Secondary |
| 225X00000X | Occupational Therapist | 1050605 (Oregon) | Primary |
Monica Gabaldon, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 368 S 6th St, Independence, OR 97351 Phone: 503-851-5223 | |
Poyama Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Greenwood Rd S, Independence, OR 97351 Phone: 503-838-6431 Fax: 503-838-6440 | |
Community Life Counseling Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 S Main St, Independence, OR 97351 Phone: 541-633-7032 |