Organization
POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC
Active
Other names
Poyama Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTE JANE M COX (OFFICE MANAGER)
(503) 588-2004
Entity
Organization
Contact information
Practice address
965 LIBERTY ST SE, SALEM, OR 97302-4138
(503) 588-2004
(503) 588-2415
Mailing address
965 LIBERTY ST SE, SALEM, OR 97302-4138
(503) 588-2004
(503) 588-2415
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042577
—
OR
Enumeration date
06/06/2007
Last updated
09/11/2025
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