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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