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Organization
POLK COUNTY MENTAL HEALTH
Active
Organization
POLK COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARA LYNN LURAS LPN (PRESCRIBER SUPPORT SPECIALIST)
(503) 623-9289
Entity
Organization
Contact information
Practice address
182 SW ACADEMY ST, SUITE304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Mailing address
182 SW ACADEMY ST, SUITE304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
201130510LPN
OR
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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