| Youth Villages | |
|
15544 S Clackamas River Dr Oregon City OR 97045-9490 | |
| (503) 974-5816 | |
| (503) 607-0211 |
| Full Name | Youth Villages |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15544 S Clackamas River Dr, Oregon City, Oregon |
| Authorized Official Name and Position | Berenice Mendoza Cabello (BILINGUAL INTERCEPT SPECIALIST) |
| Authorized Official Contact | 5039745816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 15544 S Clackamas River Dr Oregon City OR 97045-9490 Ph: (503) 974-5816 | Youth Villages 15544 S Clackamas River Dr Oregon City OR 97045-9490 Ph: (503) 974-5816 |
| NPI Number | 1356757108 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356757108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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