| Self Reflection Mental Health | |
|
442 Nw 3rd St Corvallis OR 97330-6403 | |
| (541) 829-3971 | |
| (541) 566-7164 |
| Full Name | Self Reflection Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 442 Nw 3rd St, Corvallis, Oregon |
| Authorized Official Name and Position | Traci Merynn Wendell (OWNER) |
| Authorized Official Contact | 5418293971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Reflection Mental Health 442 Nw 3rd St Corvallis OR 97330-6403 Ph: (541) 829-3971 | Self Reflection Mental Health 442 Nw 3rd St Corvallis OR 97330-6403 Ph: (541) 829-3971 |
| NPI Number | 1023820750 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023820750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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