Organization
EASTER SEALS OREGON CHILDREN'S THERAPY CENTER
Active
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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