| Prism Pathways Llc | |
|
227 W 13th Ave Eugene OR 97401-3675 | |
| (541) 632-6683 | |
| Not Available |
| Full Name | Prism Pathways Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 227 W 13th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Melissa Sanders (COUNSELOR) |
| Authorized Official Contact | 5305581362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Pathways Llc Po Box 76 Springfield OR 97477-0004 Ph: () - | Prism Pathways Llc 227 W 13th Ave Eugene OR 97401-3675 Ph: (541) 632-6683 |
| NPI Number | 1659100543 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659100543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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