| Ronnie Hansen Therapy Llc | |
|
1229 Main St. Suite 107 Philomath OR 97370 | |
| (929) 515-4102 | |
| Not Available |
| Full Name | Ronnie Hansen Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1229 Main St., Philomath, Oregon |
| Authorized Official Name and Position | Ronnie Louise Hansen (OWNER) |
| Authorized Official Contact | 9295154102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronnie Hansen Therapy Llc 710 Sw 57th St Corvallis OR 97333-4480 Ph: (541) 609-0462 | Ronnie Hansen Therapy Llc 1229 Main St. Suite 107 Philomath OR 97370 Ph: (929) 515-4102 |
| NPI Number | 1548736895 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 10/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548736895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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