| Madrone Mental Health Services, Llc | |
|
150 Shelton Mcmurphey Blvd Ste 101 Eugene OR 97401-5015 | |
| (541) 210-8090 | |
| Not Available |
| Full Name | Madrone Mental Health Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, Oregon |
| Authorized Official Name and Position | Bradley P Cohn (CO-DIRECTOR) |
| Authorized Official Contact | 5412108090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madrone Mental Health Services, Llc 150 Shelton Mcmurphey Blvd Ste 101 Eugene OR 97401-5015 Ph: () - | Madrone Mental Health Services, Llc 150 Shelton Mcmurphey Blvd Ste 101 Eugene OR 97401-5015 Ph: (541) 210-8090 |
| NPI Number | 1124400908 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124400908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L6505 (Oregon) | Primary |
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