Unknown Individual – Professional Counselor, NPI 1659529097
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
182, Southwest Academy Street, Dallas City Limits, Polk County, Oregon, 97338, United States
STE 304
DALLAS, OR 973381922
Phone: (503) 623-9289
Fax: (503) 831-1726
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97338)
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