| Shangri-la Corporation | |
|
4080 Reed Rd Se Ste 150 Salem OR 97302-1335 | |
| (503) 581-1732 | |
| (503) 581-5638 |
| Full Name | Shangri-la Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4080 Reed Rd Se Ste 150, Salem, Oregon |
| Authorized Official Name and Position | Janet Yousey (CEO) |
| Authorized Official Contact | 5035811732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shangri-la Corporation 4080 Reed Rd Se Ste 150 Salem OR 97302-1335 Ph: (503) 581-1732 | Shangri-la Corporation 4080 Reed Rd Se Ste 150 Salem OR 97302-1335 Ph: (503) 581-1732 |
| NPI Number | 1578000758 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578000758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
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