Silver Falls Trauma Recovery Llc | |
495 State St Ste 540 Salem OR 97301-3297 | |
(503) 897-9609 | |
Not Available |
Full Name | Silver Falls Trauma Recovery Llc |
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Speciality | Counselor - Mental Health |
Location | 495 State St Ste 540, Salem, Oregon |
Authorized Official Name and Position | Melinda A Cooper (SOLE OWNER) |
Authorized Official Contact | 5038600987 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Silver Falls Trauma Recovery Llc 495 State St Ste 540 Salem OR 97301-3297 Ph: (503) 897-9609 | Silver Falls Trauma Recovery Llc 495 State St Ste 540 Salem OR 97301-3297 Ph: (503) 897-9609 |
NPI Number | 1871131201 |
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Provider Enumeration Date | 12/16/2019 |
Last Update Date | 07/22/2024 |
Certification Date | 07/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871131201 | NPI | - | NPPES |
500699205 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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