Polk County Mental Health
Specialty details in registry · Dallas, OR
At a glance
182 Sw Academy St, Dallas, OR 97338-1996
NPPES record updated Mar 10, 2017. Public records can lag behind changes at a practice.
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Practice location
182 Sw Academy StDallas, OR 97338-1996
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 104100000X
- Enumeration date
- Mar 10, 2017
- Record updated
- Mar 10, 2017
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
104100000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
182 Sw Academy StDallas, OR 97338-1996
- Phone
- (503) 623-9289
Mailing address
182 SW ACADEMY STDALLAS, OR 973381996
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