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Lakewood Counseling And Mediation

Community/Behavioral Health in Lake Oswego, OR. Organization (NPI-2).

NPI number1497965784
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497965784
Entity type
Organization (NPI-2)
Legal business name
Lakewood Counseling And Mediation
Organization subpart
No
Enumeration date
May 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthC0168ORYes
251S00000X Community/Behavioral HealthT0103OR

Practice location

543 3rd St
Suite C-12
Lake Oswego, OR 97034-3067

Phone 503-697-3484

Mailing address

Po Box 935
Lake Oswego, OR 97034-0101

Authorized official

Deborah Baker
Director
5036973484

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