| Inhousedoc, Inc. | |
|
23334 Sw Saint Charles Way Sherwood OR 97140-9483 | |
| (503) 840-0387 | |
| (503) 925-3023 |
| Full Name | Inhousedoc, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 23334 Sw Saint Charles Way, Sherwood, Oregon |
| Authorized Official Name and Position | Robert John Tilley (OWNER) |
| Authorized Official Contact | 5038400387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inhousedoc, Inc. 23334 Sw Saint Charles Way Sherwood OR 97140-9483 Ph: (503) 840-0387 | Inhousedoc, Inc. 23334 Sw Saint Charles Way Sherwood OR 97140-9483 Ph: (503) 840-0387 |
| NPI Number | 1740812809 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740812809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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