Organization
POLK COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JEAN KRAEMER BA (SERVICE COORDINATOR)
(503) 623-9289
Entity
Organization
Contact information
Practice address
182 SW ACADEMY ST, SUITE # 304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 623-1874
Mailing address
182 SW ACADEMY ST, SUITE # 304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 623-1874
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
OR
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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