Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
POLK COUNTY MENTAL HEALTH
Active
Organization
POLK COUNTY MENTAL HEALTH
Active
Other names
Polk County Mental Health Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE KLEIN CADC-II QMHA BS (ADDICTIONS COUNSELOR)
(503) 623-9289
Entity
Organization
Contact information
Practice address
557 21ST ST SE, SALEM, OR 97301-6526
(503) 991-0226
Mailing address
557 21ST ST SE, SALEM, OR 97301-6526
(503) 991-0226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
04-R-19
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-R-19
CADC-II ID NUMBER
OR
Enumeration date
04/04/2007
Last updated
08/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up