| Eugene Therapy Of Oregon | |
|
887 Nw Grant Ave Corvallis OR 97330-4539 | |
| (704) 506-6267 | |
| Not Available |
| Full Name | Eugene Therapy Of Oregon |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 887 Nw Grant Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Therapy Of Oregon 67 Burnside Ave East Hartford CT 06108-3408 Ph: (704) 506-6267 | Eugene Therapy Of Oregon 887 Nw Grant Ave Corvallis OR 97330-4539 Ph: (704) 506-6267 |
| NPI Number | 1861262297 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861262297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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