| Eusebio Herrera-perez | |
|
3250 Azalea Dr S Salem OR 97302-5930 | |
| (503) 602-1393 | |
| (971) 707-4615 |
| Full Name | Eusebio Herrera-perez |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3250 Azalea Dr S, Salem, Oregon |
| Authorized Official Name and Position | Eusebio Herrera-perez (PRESIDENT) |
| Authorized Official Contact | 5036021393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eusebio Herrera-perez 3250 Azalea Dr S Salem OR 97302-5930 Ph: (503) 602-1393 | Eusebio Herrera-perez 3250 Azalea Dr S Salem OR 97302-5930 Ph: (503) 602-1393 |
| NPI Number | 1578043717 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578043717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7152 (Oregon) | Primary |
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