| Red Clover Wellness | |
|
12525 Se Crest Way Happy Valley OR 97086 | |
| (503) 683-3627 | |
| Not Available |
| Full Name | Red Clover Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12525 Se Crest Way, Happy Valley, Oregon |
| Authorized Official Name and Position | Katherine Reis (OWNER) |
| Authorized Official Contact | 5036833627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Clover Wellness 12042 Se Sunnyside Rd # 511 Clackamas OR 97015-8382 Ph: (503) 683-3627 | Red Clover Wellness 12525 Se Crest Way Happy Valley OR 97086 Ph: (503) 683-3627 |
| NPI Number | 1861033573 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861033573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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