Karen E Grisham Rn Mn Pc | |
1845 Commercial St Se Salem OR 97302-5203 | |
(503) 363-1422 | |
Not Available |
Full Name | Karen E Grisham Rn Mn Pc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1845 Commercial St Se, Salem, Oregon |
Authorized Official Name and Position | Karen E Grisham (OWNER) |
Authorized Official Contact | 5033631422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Karen E Grisham Rn Mn Pc 1845 Commercial St Se Salem OR 97302-5203 Ph: (503) 363-1422 | Karen E Grisham Rn Mn Pc 1845 Commercial St Se Salem OR 97302-5203 Ph: (503) 363-1422 |
NPI Number | 1497932982 |
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Provider Enumeration Date | 01/27/2008 |
Last Update Date | 01/27/2008 |
Identifier | Type | State | Issuer |
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1497932982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | 000025769N6 (Oregon) | Primary |
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