Mccallum Psychiarty Llc | |
14305 Sw 112th Ave Tigard OR 97224-3705 | |
(503) 660-2418 | |
Not Available |
Full Name | Mccallum Psychiarty Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 14305 Sw 112th Ave, Tigard, Oregon |
Authorized Official Name and Position | Kristi Smith (ADMIN) |
Authorized Official Contact | 5093080276 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mccallum Psychiarty Llc 15532 Sw Pacific Hwy # 201 Tigard OR 97224-3598 Ph: (503) 660-2418 | Mccallum Psychiarty Llc 14305 Sw 112th Ave Tigard OR 97224-3705 Ph: (503) 660-2418 |
NPI Number | 1861231409 |
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Provider Enumeration Date | 05/22/2024 |
Last Update Date | 06/04/2024 |
Certification Date | 06/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861231409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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