Landon Michaels Psychological Services, Llc | |
6708 Se Plum Dr Milwaukie OR 97222-2012 | |
(719) 258-2328 | |
Not Available |
Full Name | Landon Michaels Psychological Services, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6708 Se Plum Dr, Milwaukie, Oregon |
Authorized Official Name and Position | Landon Michaels (CLINICAL PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 9712582328 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Landon Michaels Psychological Services, Llc 6708 Se Plum Dr Milwaukie OR 97222-2012 Ph: (719) 258-2328 | Landon Michaels Psychological Services, Llc 6708 Se Plum Dr Milwaukie OR 97222-2012 Ph: (719) 258-2328 |
NPI Number | 1902594054 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 04/26/2023 |
Certification Date | 04/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902594054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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