| Oregon Emdr Llc | |
|
175 W B St Springfield OR 97477-4575 | |
| (541) 525-9416 | |
| (541) 722-7033 |
| Full Name | Oregon Emdr Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 175 W B St, Springfield, Oregon |
| Authorized Official Name and Position | Susan Marie Wendelborg (OWNER) |
| Authorized Official Contact | 5415259416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Emdr Llc 1863 Pioneer Pkwy E Springfield OR 97477-3907 Ph: () - | Oregon Emdr Llc 175 W B St Springfield OR 97477-4575 Ph: (541) 525-9416 |
| NPI Number | 1699286591 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699286591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L5896 (Oregon) | Primary |
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