Life Balance Northwest | |
1595 Holly St West Linn OR 97068-3326 | |
(503) 344-6211 | |
(503) 344-6991 |
Full Name | Life Balance Northwest |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1595 Holly St, West Linn, Oregon |
Authorized Official Name and Position | Ann Marie Childers (PSYCHIATRIST) |
Authorized Official Contact | 5033446211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Balance Northwest 333 S State St V137 Lake Oswego OR 97034-5052 Ph: (503) 344-6211 | Life Balance Northwest 1595 Holly St West Linn OR 97068-3326 Ph: (503) 344-6211 |
NPI Number | 1538477500 |
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Provider Enumeration Date | 09/23/2010 |
Last Update Date | 10/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538477500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD19493 (Oregon) | Primary |
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