| Mel Langston Professional Services, Inc. | |
|
2245 N Wahanna Rd Seaside OR 97138-7833 | |
| (503) 791-3181 | |
| Not Available |
| Full Name | Mel Langston Professional Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2245 N Wahanna Rd, Seaside, Oregon |
| Authorized Official Name and Position | Mary E. Langston (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 5037913181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mel Langston Professional Services, Inc. 5 N Highway 101 #349 Warrenton OR 97146-9313 Ph: (503) 791-3181 | Mel Langston Professional Services, Inc. 2245 N Wahanna Rd Seaside OR 97138-7833 Ph: (503) 791-3181 |
| NPI Number | 1851642706 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851642706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C1701 (Oregon) | Primary |
Seaside Wellness Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2609 Highway 101 N Ste 203, Seaside, OR 97138 Phone: 503-717-5284 Fax: 844-364-9424 |