| Victory Star Therapy Llc | |
|
10700 Sw Beaverton Hillsdale Hwy, Bldg 3, Suite # 560 Beaverton OR 97005-3153 | |
| (503) 967-7716 | |
| Not Available |
| Full Name | Victory Star Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10700 Sw Beaverton Hillsdale Hwy, Bldg 3, Suite # 560, Beaverton, Oregon |
| Authorized Official Name and Position | Lorena Scott (SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 5039677716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Star Therapy Llc 4200 Sw 107th Ave Apt 2002 Beaverton OR 97005-3153 Ph: () - | Victory Star Therapy Llc 10700 Sw Beaverton Hillsdale Hwy, Bldg 3, Suite # 560 Beaverton OR 97005-3153 Ph: (503) 967-7716 |
| NPI Number | 1770267791 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770267791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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