| Senior Behavioral Health Unit | |
|
2700 Se Stratus Ave Mcminnville OR 97128-6255 | |
| (503) 472-6131 | |
| (503) 472-8691 |
| Full Name | Senior Behavioral Health Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Behavioral Health Unit 2700 Se Stratus Ave Mcminnville OR 97128-6255 Ph: (503) 472-6131 | Senior Behavioral Health Unit 2700 Se Stratus Ave Mcminnville OR 97128-6255 Ph: (503) 472-6131 |
| NPI Number | 1699019216 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 2466365010 |
|---|---|
| Medicare Enrollment ID | O20121219000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699019216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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