Organization
DAWN SLY LCSW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN SLY LCSW (OWNER/PRESIDENT)
(541) 270-4660
Entity
Organization
Contact information
Practice address
122 NE 47TH ST, NEWPORT, OR 97365-1429
(541) 270-4660
(541) 574-0821
Mailing address
PO BOX 898, CRESWELL, OR 97426-0898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500604911
—
OR
Enumeration date
01/29/2008
Last updated
08/30/2009
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