Organization
WEST LINN CLEMENTINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LAU (CONTRACTING DIRECTOR)
(724) 989-4564
Entity
Organization
Contact information
Practice address
22035 S WISTERIA RD, WEST LINN, OR 97068-9231
(971) 314-6530
(971) 228-1680
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 740-4770
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
04/11/2025
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