Tending The Vineyard | |
200 E 2nd St Ste 101 Newberg OR 97132-3083 | |
(503) 857-0514 | |
Not Available |
Full Name | Tending The Vineyard |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 200 E 2nd St Ste 101, Newberg, Oregon |
Authorized Official Name and Position | Rebecca Lynn Ward (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5038570514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tending The Vineyard 200 E 2nd St Ste 101 Newberg OR 97132-3083 Ph: (503) 857-0514 | Tending The Vineyard 200 E 2nd St Ste 101 Newberg OR 97132-3083 Ph: (503) 857-0514 |
NPI Number | 1386269637 |
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Provider Enumeration Date | 06/12/2020 |
Last Update Date | 04/06/2024 |
Certification Date | 04/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386269637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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