| Pacific Coast Therapist Inc | |
|
19785 Wildwood Dr West Linn OR 97068-2228 | |
| (408) 805-6722 | |
| Not Available |
| Full Name | Pacific Coast Therapist Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19785 Wildwood Dr, West Linn, Oregon |
| Authorized Official Name and Position | Shannon Christine Frank-richter (PRESIDENT) |
| Authorized Official Contact | 4086178994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Coast Therapist Inc 17600 Pacific Hwy Unit 319 Marylhurst OR 97036-0800 Ph: (408) 617-8994 | Pacific Coast Therapist Inc 19785 Wildwood Dr West Linn OR 97068-2228 Ph: (408) 805-6722 |
| NPI Number | 1518695030 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518695030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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