Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 300 Dewey St, Moro, Oregon |
Authorized Official Name and Position | Barbara Seatter (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5412965452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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419 E 7th St Annex A The Dalles OR 97058-2676 Ph: (541) 296-5452 | 300 Dewey St Moro OR 97039-3069 Ph: (541) 296-5452 |
NPI Number | 1184045502 |
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Provider Enumeration Date | 01/02/2014 |
Last Update Date | 01/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184045502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Oregon) | Primary |