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Organization

EVERGREEN MOUNTAINS THERAPY AND CONSULTING, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID W SANT MSW, LCSW (ADMINISTRATOR)
(503) 260-0969
Entity
Organization

Contact information

Practice address
309 17TH ST, OREGON CITY, OR 97045-1032
(503) 260-0969
Mailing address
309 17TH ST, OREGON CITY, OR 97045-1032

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L6297
OR

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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