Kristine L Falco Psyd Pc | |
392 E Main Ave Sisters OR 97759-0000 | |
(541) 480-4887 | |
Not Available |
Full Name | Kristine L Falco Psyd Pc |
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Speciality | Clinic/Center |
Location | 392 E Main Ave, Sisters, Oregon |
Authorized Official Name and Position | Kristine Falco (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 5414804887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristine L Falco Psyd Pc Po Box 1717 Sisters OR 97759-1717 Ph: () - | Kristine L Falco Psyd Pc 392 E Main Ave Sisters OR 97759-0000 Ph: (541) 480-4887 |
NPI Number | 1013234319 |
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Provider Enumeration Date | 04/26/2010 |
Last Update Date | 04/26/2010 |
Medicare PECOS PAC ID | 2062541162 |
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Medicare Enrollment ID | O20100528000198 |
Identifier | Type | State | Issuer |
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1013234319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | 781 (Oregon) | Primary |
Provider Name | Kristine L Falco |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205908472 PECOS PAC ID: 3476682584 Enrollment ID: I20100528000323 |
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