| Polk County Mental Health | |
|
182 Sw Academy St Suite 304 Dallas OR 97338-1922 | |
| (503) 623-9289 | |
| (503) 831-1726 |
| Full Name | Polk County Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 182 Sw Academy St, Dallas, Oregon |
| Authorized Official Name and Position | David Manitsas (SUPERVISOR) |
| 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 Suite 304 Dallas OR 97338-1922 Ph: (503) 623-9289 | Polk County Mental Health 182 Sw Academy St Suite 304 Dallas OR 97338-1922 Ph: (503) 623-9289 |
| NPI Number | 1457477333 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457477333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
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 | |
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