Synthesis Mind/body Llc | |
121 Ne A St Ste A Grants Pass OR 97526-2111 | |
(541) 471-8077 | |
(541) 471-8074 |
Full Name | Synthesis Mind/body Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 121 Ne A St, Grants Pass, Oregon |
Authorized Official Name and Position | Kathleen A Hughes-kuda (PRESIDENT) |
Authorized Official Contact | 5414718077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Synthesis Mind/body Llc 121 Ne A St Ste A Grants Pass OR 97526-2111 Ph: (541) 471-8077 | Synthesis Mind/body Llc 121 Ne A St Ste A Grants Pass OR 97526-2111 Ph: (541) 471-8077 |
NPI Number | 1598017691 |
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Provider Enumeration Date | 10/12/2012 |
Last Update Date | 10/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598017691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 26314 (Oregon) | Primary |
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