| Heidi Scanlan Lcsw Llc | |
|
2631 Marylhurst Dr West Linn OR 97068-1357 | |
| (503) 855-9043 | |
| Not Available |
| Full Name | Heidi Scanlan Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2631 Marylhurst Dr, West Linn, Oregon |
| Authorized Official Name and Position | Heidi Jean Warren Scanlan (SOLE MEMBER) |
| Authorized Official Contact | 5039607717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Scanlan Lcsw Llc 2631 Marylhurst Dr West Linn OR 97068-1357 Ph: (503) 855-9043 | Heidi Scanlan Lcsw Llc 2631 Marylhurst Dr West Linn OR 97068-1357 Ph: (503) 855-9043 |
| NPI Number | 1265015002 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265015002 | NPI | - | NPPES |
| 500790030 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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