| Northwest Center For Evidence-based Psychotherapy Llc | |
|
5305 River Rd N Ste B Keizer OR 97303-5324 | |
| (971) 247-3145 | |
| Not Available |
| Full Name | Northwest Center For Evidence-based Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5305 River Rd N Ste B, Keizer, Oregon |
| Authorized Official Name and Position | Meaghan M. Lewis (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9712473145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Center For Evidence-based Psychotherapy Llc 2850 Sw Cedar Hills Blvd # 1186 Beaverton OR 97005-1354 Ph: (503) 564-8868 | Northwest Center For Evidence-based Psychotherapy Llc 5305 River Rd N Ste B Keizer OR 97303-5324 Ph: (971) 247-3145 |
| NPI Number | 1386389120 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386389120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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