Organization
MICHAELA GRILLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA GRILLO LCSW (OWNER)
(978) 790-7466
Entity
Organization
Contact information
Practice address
942 WINDEMERE DR NW, SALEM, OR 97304
(503) 482-9089
(971) 339-7115
Mailing address
3055 NW YEON AVE # 866, PORTLAND, OR 97210-1519
(503) 482-9089
(971) 339-7115
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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