Organization
EASTER SEALS OREGON CHILDREN'S THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TEDRA MANDELL LPC (CLINICAL SUPERVISOR)
(503) 370-8990
Entity
Organization
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8990
(503) 363-4214
Mailing address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 370-8990
(503) 363-4214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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