Organization
HEARTWOOD CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA RYNEARSON MN, PMHNP-BC, CNM (OWNER, CLINICIAN)
(503) 427-8581
Entity
Organization
Contact information
Practice address
200 E 2ND ST STE 102, NEWBERG, OR 97132-3083
(503) 427-8581
(503) 461-0061
Mailing address
14350 SW HIDDEN HILLS RD, MCMINNVILLE, OR 97128-8347
(503) 427-8581
(503) 461-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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