| Thoughtwork, Llc | |
|
178 Nw Garden Valley Blvd Roseburg OR 97470 | |
| (541) 236-8733 | |
| Not Available |
| Full Name | Thoughtwork, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 178 Nw Garden Valley Blvd, Roseburg, Oregon |
| Authorized Official Name and Position | Maurice Charles Gunyon (OWNER) |
| Authorized Official Contact | 5412368733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thoughtwork, Llc 178 Nw Garden Valley Blvd Roseburg OR 97470 Ph: (541) 236-8733 | Thoughtwork, Llc 178 Nw Garden Valley Blvd Roseburg OR 97470 Ph: (541) 236-8733 |
| NPI Number | 1326547134 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326547134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7344 (Oregon) | Primary |
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