| Inner Room Somatic Therapy, Llc | |
|
840 Lawrence St Eugene OR 97401-2828 | |
| (541) 275-6349 | |
| (541) 516-7085 |
| Full Name | Inner Room Somatic Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 840 Lawrence St, Eugene, Oregon |
| Authorized Official Name and Position | Christopher Brehm (OWNER) |
| Authorized Official Contact | 5412756349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Room Somatic Therapy, Llc 887 E 39th Pl Eugene OR 97405-4539 Ph: (541) 275-6349 | Inner Room Somatic Therapy, Llc 840 Lawrence St Eugene OR 97401-2828 Ph: (541) 275-6349 |
| NPI Number | 1073241030 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073241030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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