| Silver Falls Trauma Recovery, Llc | |
|
495 State St Ste 540 Salem OR 97301-3297 | |
| (503) 897-9609 | |
| Not Available |
| Full Name | Silver Falls Trauma Recovery, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 495 State St Ste 540, Salem, Oregon |
| Authorized Official Name and Position | Melinda A Cooper (SOLE OWNER) |
| Authorized Official Contact | 5038600987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Falls Trauma Recovery, Llc 101 N Water St Ste A Silverton OR 97381-1675 Ph: () - | Silver Falls Trauma Recovery, Llc 495 State St Ste 540 Salem OR 97301-3297 Ph: (503) 897-9609 |
| NPI Number | 1871131201 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871131201 | NPI | - | NPPES |
| 500699205 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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