| Synthesis Mind/body Llc | |
|
121 Ne A St Ste A Grants Pass OR 97526-2111 | |
| (541) 471-8077 | |
| (541) 471-8074 |
| Full Name | Synthesis Mind/body Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 121 Ne A St, Grants Pass, Oregon |
| Authorized Official Name and Position | Kathleen A Hughes-kuda (PRESIDENT) |
| Authorized Official Contact | 5414718077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synthesis Mind/body Llc 121 Ne A St Ste A Grants Pass OR 97526-2111 Ph: (541) 471-8077 | Synthesis Mind/body Llc 121 Ne A St Ste A Grants Pass OR 97526-2111 Ph: (541) 471-8077 |
| NPI Number | 1598017691 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598017691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26314 (Oregon) | Primary |
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