| Rachael Ringwood Lcsw, Llc | |
|
2029 Se Jefferson St Ste 107 Milwaukie OR 97222-7605 | |
| (801) 706-6468 | |
| (877) 743-1725 |
| Full Name | Rachael Ringwood Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2029 Se Jefferson St Ste 107, Milwaukie, Oregon |
| Authorized Official Name and Position | Rachael Ringwood (OWNER) |
| Authorized Official Contact | 3857431725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Ringwood Lcsw, Llc 2029 Se Jefferson St Ste 107 Milwaukie OR 97222-7605 Ph: (801) 706-6468 | Rachael Ringwood Lcsw, Llc 2029 Se Jefferson St Ste 107 Milwaukie OR 97222-7605 Ph: (801) 706-6468 |
| NPI Number | 1720625197 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720625197 | NPI | - | NPPES |
| 500732946 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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