| Rdcforensics Llc | |
|
19365 Sw 65th Ave Suite 206 Tualatin OR 97062-9196 | |
| (503) 830-2569 | |
| Not Available |
| Full Name | Rdcforensics Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19365 Sw 65th Ave, Tualatin, Oregon |
| Authorized Official Name and Position | Roger Cook (OWNER) |
| Authorized Official Contact | 5038302569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rdcforensics Llc 470 Oxbow Rd Woodland WA 98674-9293 Ph: () - | Rdcforensics Llc 19365 Sw 65th Ave Suite 206 Tualatin OR 97062-9196 Ph: (503) 830-2569 |
| NPI Number | 1689040586 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 08/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689040586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C3844 (Oregon) | Primary |
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