| Spiritual Self Inc. | |
|
1300 Nw Adams St Ste C Mcminnville OR 97128-3550 | |
| (503) 883-0099 | |
| Not Available |
| Full Name | Spiritual Self Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1300 Nw Adams St Ste C, Mcminnville, Oregon |
| Authorized Official Name and Position | Angela D Self Lindsey (PRESIDENT) |
| Authorized Official Contact | 9712410433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spiritual Self Inc. 1272 Sw Emma Dr Mcminnville OR 97128-7642 Ph: (971) 241-0433 | Spiritual Self Inc. 1300 Nw Adams St Ste C Mcminnville OR 97128-3550 Ph: (503) 883-0099 |
| NPI Number | 1730745886 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730745886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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