Polk County Mental Health | |
182 Sw Academy St Dallas OR 97338-1996 | |
(503) 623-9289 | |
Not Available |
Full Name | Polk County Mental Health |
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Speciality | Social Worker |
Location | 182 Sw Academy St, Dallas, Oregon |
Authorized Official Name and Position | Melanie Myers (BEHAVIORAL HEALTH SUPERVISOR I) |
Authorized Official Contact | 5034003550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Polk County Mental Health 182 Sw Academy St Dallas OR 97338-1996 Ph: () - | Polk County Mental Health 182 Sw Academy St Dallas OR 97338-1996 Ph: (503) 623-9289 |
NPI Number | 1861933863 |
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Provider Enumeration Date | 03/10/2017 |
Last Update Date | 03/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861933863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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