| Birch Grove Counseling Llc | |
|
3787 River Rd N Ste C Keizer OR 97303-4899 | |
| (503) 580-7336 | |
| Not Available |
| Full Name | Birch Grove Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3787 River Rd N Ste C, Keizer, Oregon |
| Authorized Official Name and Position | Laurie Holland-klein (OWNER) |
| Authorized Official Contact | 5035807336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Grove Counseling Llc 542 Delmar Dr N Salem OR 97303-6020 Ph: (907) 388-4689 | Birch Grove Counseling Llc 3787 River Rd N Ste C Keizer OR 97303-4899 Ph: (503) 580-7336 |
| NPI Number | 1497243182 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 04/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497243182 | NPI | - | NPPES |
| 1164591681 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4684 (Oregon) | Primary |
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