| Stephanie Haugen Llc | |
|
1904 Elm St Ste 5 Forest Grove OR 97116-2553 | |
| (971) 405-0057 | |
| Not Available |
| Full Name | Stephanie Haugen Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1904 Elm St Ste 5, Forest Grove, Oregon |
| Authorized Official Name and Position | Stephanie Haugen (OWNER) |
| Authorized Official Contact | 9714050057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Haugen Llc 1904 Elm St Ste 5 Forest Grove OR 97116-2553 Ph: (971) 405-0057 | Stephanie Haugen Llc 1904 Elm St Ste 5 Forest Grove OR 97116-2553 Ph: (971) 405-0057 |
| NPI Number | 1124894415 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124894415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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