| Liberty Mental Health Clinic | |
|
145 Wilson St S Salem OR 97302-4232 | |
| (503) 581-0463 | |
| (503) 581-1669 |
| Full Name | Liberty Mental Health Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Wilson St S, Salem, Oregon |
| Authorized Official Name and Position | Loren S Meltzer (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5033024126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Mental Health Clinic 1247 Commercial St Se Salem OR 97302-4203 Ph: (503) 581-0463 | Liberty Mental Health Clinic 145 Wilson St S Salem OR 97302-4232 Ph: (503) 581-0463 |
| NPI Number | 1851567655 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851567655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L3352-C1512 (Oregon) | Primary |
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