| Willamette Valley Psychological Services Llc | |
|
37830 Kelly Rd Scio OR 97374-9710 | |
| (503) 277-9640 | |
| Not Available |
| Full Name | Willamette Valley Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 37830 Kelly Rd, Scio, Oregon |
| Authorized Official Name and Position | Nathan R Bauer (DR.) |
| Authorized Official Contact | 5032779640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Valley Psychological Services Llc 5441 S Macadam Ave Ste R Portland OR 97239-6106 Ph: (503) 914-1035 | Willamette Valley Psychological Services Llc 37830 Kelly Rd Scio OR 97374-9710 Ph: (503) 277-9640 |
| NPI Number | 1992511430 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992511430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |