Organization
SALEM PSYCHIATRIC ASSOCIATES PC
Active
Other names
Valley Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE SOLEIL (EXECUTIVE DIRECTOR)
(503) 798-9541
Entity
Organization
Contact information
Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 589-4046
(503) 362-9671
Mailing address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 315-8646
(503) 798-9560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015466000
BLUE CROSS
OR
05
—
500400273
—
OR
Enumeration date
04/13/2007
Last updated
10/03/2017
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