| West Linn Clementine, Inc | |
|
22035 S Wisteria Rd West Linn OR 97068-9231 | |
| (971) 314-6530 | |
| (971) 228-1680 |
| Full Name | West Linn Clementine, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 22035 S Wisteria Rd, West Linn, Oregon |
| Authorized Official Name and Position | Lauren Lau (CONTRACTING DIRECTOR) |
| Authorized Official Contact | 7249894564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Linn Clementine, Inc 6100 Sw 76th St South Miami FL 33143-5002 Ph: () - | West Linn Clementine, Inc 22035 S Wisteria Rd West Linn OR 97068-9231 Ph: (971) 314-6530 |
| NPI Number | 1184423584 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184423584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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