| Marilyn Mull L.c.s.w. Pc | |
|
1012 Se Oak Ave 347 Roseburg OR 97470-4985 | |
| (541) 672-7142 | |
| Not Available |
| Full Name | Marilyn Mull L.c.s.w. Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1012 Se Oak Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Marilyn Mull (PRESIDENT) |
| Authorized Official Contact | 5416727142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Mull L.c.s.w. Pc Po Box 1516 Roseburg OR 97470-0358 Ph: (541) 672-7142 | Marilyn Mull L.c.s.w. Pc 1012 Se Oak Ave 347 Roseburg OR 97470-4985 Ph: (541) 672-7142 |
| NPI Number | 1295901809 |
|---|---|
| Provider Enumeration Date | 05/03/2008 |
| Last Update Date | 05/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295901809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1242 (Oregon) | Primary |
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