| Meredith Mirsepassi Counseling | |
|
25030 Sw Parkway Ave Ste 1045 Wilsonville OR 97070-9603 | |
| (503) 544-7962 | |
| Not Available |
| Full Name | Meredith Mirsepassi Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25030 Sw Parkway Ave Ste 1045, Wilsonville, Oregon |
| Authorized Official Name and Position | Meredith Mirsepassi (SOLE PROPRIETOR) |
| Authorized Official Contact | 5035447962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Mirsepassi Counseling 25030 Sw Parkway Ave Ste 1045 Wilsonville OR 97070-9603 Ph: (503) 544-7962 | Meredith Mirsepassi Counseling 25030 Sw Parkway Ave Ste 1045 Wilsonville OR 97070-9603 Ph: (503) 544-7962 |
| NPI Number | 1679074785 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679074785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C4140 (Oregon) | Primary |
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