| Osoa Therapy | |
|
114 Se 1st St Pendleton OR 97801-2204 | |
| (541) 429-9000 | |
| (855) 738-7698 |
| Full Name | Osoa Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 114 Se 1st St, Pendleton, Oregon |
| Authorized Official Name and Position | Amy Rose Ashton-williams (A&D COUNSELOR, CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 5414299000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osoa Therapy Po Box 1703 114 Se 1st St Pendleton OR 97801-0540 Ph: (541) 429-9000 | Osoa Therapy 114 Se 1st St Pendleton OR 97801-2204 Ph: (541) 429-9000 |
| NPI Number | 1154619963 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 04/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154619963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 07-09-56 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | 062120 (Oregon) | Primary |
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