| Polk County Mental Health | |
|
182 Sw Academy St Suite304 Dallas OR 97338-1922 | |
| (503) 623-9289 | |
| (503) 831-1726 |
| Full Name | Polk County Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 182 Sw Academy St, Dallas, Oregon |
| Authorized Official Name and Position | Dara Lynn Luras (PRESCRIBER SUPPORT SPECIALIST) |
| Authorized Official Contact | 5036239289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polk County Mental Health 182 Sw Academy St Suite304 Dallas OR 97338-1922 Ph: (503) 623-9289 | Polk County Mental Health 182 Sw Academy St Suite304 Dallas OR 97338-1922 Ph: (503) 623-9289 |
| NPI Number | 1174892301 |
|---|---|
| Provider Enumeration Date | 12/16/2011 |
| Last Update Date | 12/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174892301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 201130510LPN (Oregon) | Primary |
Oregon Recovery Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Sw Court St, Dallas, OR 97338 Phone: 503-304-4358 | |
Clear Paths Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Sw Court, Dallas, OR 97338 Phone: 503-831-1423 Fax: 503-831-1573 | |
Polk County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Polk County Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 182 Sw Academy, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
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