| G Street Integrated Health | |
|
1435 G St Springfield OR 97477-4113 | |
| (541) 735-9420 | |
| (541) 747-9870 |
| Full Name | G Street Integrated Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1435 G St, Springfield, Oregon |
| Authorized Official Name and Position | Jennifer Ocker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5417359421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Street Integrated Health 1435 G St Springfield OR 97477-4113 Ph: (541) 735-9420 | G Street Integrated Health 1435 G St Springfield OR 97477-4113 Ph: (541) 735-9420 |
| NPI Number | 1609483049 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609483049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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