Play Connections Autism Services, Llc | |
15100 Sw Koll Pkwy Suite A Beaverton OR 97006-6026 | |
(503) 737-4693 | |
Not Available |
Full Name | Play Connections Autism Services, Llc |
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Speciality | Community/behavioral Health |
Location | 15100 Sw Koll Pkwy, Beaverton, Oregon |
Authorized Official Name and Position | Melanie Shaw (OWNER/DIRECTOR) |
Authorized Official Contact | 5037374693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Play Connections Autism Services, Llc 15100 Sw Koll Pkwy Suite A Beaverton OR 97006-6026 Ph: () - | Play Connections Autism Services, Llc 15100 Sw Koll Pkwy Suite A Beaverton OR 97006-6026 Ph: (503) 737-4693 |
NPI Number | 1821360611 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
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1821360611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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