Organization
PRIMAL PATH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SELLERS MA (MCF THERAPIST ASSOCIATE)
(541) 625-4361
Entity
Organization
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(541) 625-4361
Mailing address
27075 CLEAR LAKE RD, EUGENE, OR 97402-9443
(562) 641-6992
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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