| Pathways - Child And Family Services - Llc | |
|
1164 63rd Ave Ne Salem OR 97317-2313 | |
| (503) 871-2020 | |
| (503) 581-6016 |
| Full Name | Pathways - Child And Family Services - Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1164 63rd Ave Ne, Salem, Oregon |
| Authorized Official Name and Position | Carol Ann Adams (PROVIDER / OWNER) |
| Authorized Official Contact | 5038712020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways - Child And Family Services - Llc 1164 63rd Ave Ne Salem OR 97317-2313 Ph: (503) 871-2020 | Pathways - Child And Family Services - Llc 1164 63rd Ave Ne Salem OR 97317-2313 Ph: (503) 871-2020 |
| NPI Number | 1992114490 |
|---|---|
| Provider Enumeration Date | 08/08/2014 |
| Last Update Date | 09/11/2014 |
| Medicare PECOS PAC ID | 2062734379 |
|---|---|
| Medicare Enrollment ID | O20141121002319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992114490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carol A Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649498262 PECOS PAC ID: 3971825282 Enrollment ID: I20141125000687 |
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