Organization
MICHAEL P BEAVER LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P BEAVER LCSW (OWNER)
(503) 540-3442
Entity
Organization
Contact information
Practice address
2367 STATE ST STE 100, SALEM, OR 97301-4541
(503) 587-0623
(503) 391-7422
Mailing address
2367 STATE ST STE 100, SALEM, OR 97301-4541
(503) 540-3442
(503) 540-4097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
717
OR
Other
Enumeration date
02/13/2007
Last updated
11/05/2009
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