Icare Therapy Or Llc | |
5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 | |
(866) 588-8829 | |
Not Available |
Full Name | Icare Therapy Or Llc |
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Speciality | Behavior Analyst |
Location | 5 Centerpointe Dr Ste 400, Lake Oswego, Oregon |
Authorized Official Name and Position | Alexander Denciger (MANAGER) |
Authorized Official Contact | 8665888829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Icare Therapy Or Llc 825 W End Ave New York NY 10025-5349 Ph: () - | Icare Therapy Or Llc 5 Centerpointe Dr Ste 400 Lake Oswego OR 97035-8661 Ph: (866) 588-8829 |
NPI Number | 1477361988 |
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Provider Enumeration Date | 12/30/2024 |
Last Update Date | 12/30/2024 |
Certification Date | 12/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477361988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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