| Willow Tree Case Management Llc | |
|
10249 Sw Susquehanna Dr Tualatin OR 97062-9586 | |
| (307) 631-4087 | |
| Not Available |
| Full Name | Willow Tree Case Management Llc |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 10249 Sw Susquehanna Dr, Tualatin, Oregon |
| Authorized Official Name and Position | Steffanie Altenbern (OWNER) |
| Authorized Official Contact | 5039956351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Case Management Llc Po Box 2511 Tualatin OR 97062-2511 Ph: () - | Willow Tree Case Management Llc 10249 Sw Susquehanna Dr Tualatin OR 97062-9586 Ph: (307) 631-4087 |
| NPI Number | 1851004147 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851004147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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