Lakewood Counseling And Mediation | |
543 3rd St Suite C-12 Lake Oswego OR 97034-3067 | |
(503) 697-3484 | |
Not Available |
Full Name | Lakewood Counseling And Mediation |
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Speciality | Community/behavioral Health |
Location | 543 3rd St, Lake Oswego, Oregon |
Authorized Official Name and Position | Deborah Baker (DIRECTOR) |
Authorized Official Contact | 5036973484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakewood Counseling And Mediation Po Box 935 Lake Oswego OR 97034-0101 Ph: () - | Lakewood Counseling And Mediation 543 3rd St Suite C-12 Lake Oswego OR 97034-3067 Ph: (503) 697-3484 |
NPI Number | 1497965784 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1497965784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | T0103 (Oregon) | Secondary |
251S00000X | Community/behavioral Health | C0168 (Oregon) | Primary |
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