Organization
ACT BEYOND PAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA VERONICK (CO-OWNER)
(503) 428-0340
Entity
Organization
Contact information
Practice address
4655 NW QUEENS AVE, CORVALLIS, OR 97330-3234
(503) 428-0340
Mailing address
4655 NW QUEENS AVE, CORVALLIS, OR 97330-3234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4077
OR
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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