| The Core Practice | |
|
967 Park Ave Ne Salem OR 97301-2839 | |
| (503) 583-2770 | |
| Not Available |
| Full Name | The Core Practice |
|---|---|
| Speciality | Counselor - Professional |
| Location | 967 Park Ave Ne, Salem, Oregon |
| Authorized Official Name and Position | Ryan Whitlow (OWNER) |
| Authorized Official Contact | 5035832117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Core Practice 967 Park Ave Ne Salem OR 97301-2839 Ph: (843) 610-2971 | The Core Practice 967 Park Ave Ne Salem OR 97301-2839 Ph: (503) 583-2770 |
| NPI Number | 1083320220 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083320220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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