Organization
SUSAN BAMFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAMFORD LCSW (MENTAL HEALTH COUNSELOR)
(503) 581-7600
Entity
Organization
Contact information
Practice address
1845 COMMERCIAL ST SE, SALEM, OR 97302-5203
(503) 581-7600
Mailing address
1845 COMMERCIAL ST SE, SALEM, OR 97302-5203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
742
OR
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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