Rocky Tucker, Inc | |
1655 Capitol St Ne Suite #9 Salem OR 97303-6445 | |
(503) 588-8167 | |
(503) 588-8167 |
Full Name | Rocky Tucker, Inc |
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Speciality | Counselor - Mental Health |
Location | 1655 Capitol St Ne, Salem, Oregon |
Authorized Official Name and Position | Rocky Tucker (PRESIDENT) |
Authorized Official Contact | 5035888167 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rocky Tucker, Inc 1655 Capitol St Ne Suite #9 Salem OR 97303-6445 Ph: (503) 588-8167 | Rocky Tucker, Inc 1655 Capitol St Ne Suite #9 Salem OR 97303-6445 Ph: (503) 588-8167 |
NPI Number | 1912998865 |
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Provider Enumeration Date | 10/31/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1912998865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | C0029 (Oregon) | Primary |
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