| Heartwood Center, Llc | |
|
200 E 2nd St Ste 102 Newberg OR 97132-3083 | |
| (503) 427-8581 | |
| (503) 461-0061 |
| Full Name | Heartwood Center, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 200 E 2nd St Ste 102, Newberg, Oregon |
| Authorized Official Name and Position | Samantha Rynearson (OWNER, CLINICIAN) |
| Authorized Official Contact | 5034278581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartwood Center, Llc 14350 Sw Hidden Hills Rd Mcminnville OR 97128-8347 Ph: (503) 427-8581 | Heartwood Center, Llc 200 E 2nd St Ste 102 Newberg OR 97132-3083 Ph: (503) 427-8581 |
| NPI Number | 1710594155 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710594155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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