Newberg Counseling & Wellness, Llc | |
710 E Foothills Dr Ste 104c Newberg OR 97132-6125 | |
(503) 994-8424 | |
(503) 877-9967 |
Full Name | Newberg Counseling & Wellness, Llc |
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Speciality | Counselor - Professional |
Location | 710 E Foothills Dr Ste 104c, Newberg, Oregon |
Authorized Official Name and Position | Susan Melendez Doak (OWNER) |
Authorized Official Contact | 5039948424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newberg Counseling & Wellness, Llc 710 E Foothills Dr Ste 104c Newberg OR 97132-6125 Ph: (503) 994-8424 | Newberg Counseling & Wellness, Llc 710 E Foothills Dr Ste 104c Newberg OR 97132-6125 Ph: (503) 994-8424 |
NPI Number | 1164923041 |
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Provider Enumeration Date | 02/26/2018 |
Last Update Date | 02/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164923041 | NPI | - | NPPES |
500675143 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C (Oregon) | Primary |
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