| Nick Sundstrom Llc | |
|
2659 Sw 4th St Ste 110 Redmond OR 97756 | |
| (541) 647-7820 | |
| Not Available |
| Full Name | Nick Sundstrom Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2659 Sw 4th St Ste 110, Redmond, Oregon |
| Authorized Official Name and Position | Nicholas Eric Sundstrom (OWNER/PROVIDER) |
| Authorized Official Contact | 5416477820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nick Sundstrom Llc 2659 Sw 4th St Ste 110 Redmond OR 97756-6406 Ph: (541) 647-7820 | Nick Sundstrom Llc 2659 Sw 4th St Ste 110 Redmond OR 97756 Ph: (541) 647-7820 |
| NPI Number | 1033613815 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 10/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033613815 | NPI | - | NPPES |
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