| Swp Services Llc | |
|
1020 Sw Taylor St Ste 750 Portland OR 97205-2505 | |
| (503) 314-5784 | |
| Not Available |
| Full Name | Swp Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1020 Sw Taylor St Ste 750, Portland, Oregon |
| Authorized Official Name and Position | Solomon Wolf (PSYCHIATRIST) |
| Authorized Official Contact | 5033145784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swp Services Llc Po Box 59064 San Jose CA 95159-0064 Ph: (503) 314-5784 | Swp Services Llc 1020 Sw Taylor St Ste 750 Portland OR 97205-2505 Ph: (503) 314-5784 |
| NPI Number | 1891333589 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891333589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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