| Western Clinical & Forensic Services | |
|
1400 Executive Pkwy Ste 260 Eugene OR 97401-7121 | |
| (541) 802-6597 | |
| Not Available |
| Full Name | Western Clinical & Forensic Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1400 Executive Pkwy Ste 260, Eugene, Oregon |
| Authorized Official Name and Position | Mindi Weber (CREDENTIALING / CONTRACT MANAGER) |
| Authorized Official Contact | 8015624484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Clinical & Forensic Services 1400 Executive Pkwy Ste 260 Eugene OR 97401-7121 Ph: (541) 802-6597 | Western Clinical & Forensic Services 1400 Executive Pkwy Ste 260 Eugene OR 97401-7121 Ph: (541) 802-6597 |
| NPI Number | 1114498854 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114498854 | NPI | - | NPPES |
| 1902095334 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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