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15383 S Graves Rd Mulino OR 97042-9789 | |
(360) 727-1450 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 15383 S Graves Rd, Mulino, Oregon |
Authorized Official Name and Position | Kelsey Somppi (OWNER/ THERAPIST) |
Authorized Official Contact | 3607271450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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15383 S Graves Rd Mulino OR 97042-9789 Ph: (360) 727-1450 | 15383 S Graves Rd Mulino OR 97042-9789 Ph: (360) 727-1450 |
NPI Number | 1699377648 |
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Provider Enumeration Date | 11/13/2020 |
Last Update Date | 09/23/2022 |
Certification Date | 09/23/2022 |
Identifier | Type | State | Issuer |
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1699377648 | NPI | - | NPPES |