Individual
MEGAN OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 SOUTH 6TH STREET, COTTAGE GROVE, OR 97424
(541) 767-4086
(541) 942-9712
Mailing address
PO BOX 5, COTTAGE GROVE, OR 97424-0001
(541) 942-3939
(541) 942-9310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L7005
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019047
—
OR
Enumeration date
02/03/2011
Last updated
03/17/2018
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