Organization
HOPE STOREY, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE STOREY LCSW (OWNER/OPERATOR)
(541) 279-5781
Entity
Organization
Contact information
Practice address
124 SW 8TH ST, REDMOND, OR 97756-2114
(541) 279-5781
Mailing address
4528 SW 39TH ST, REDMOND, OR 97756-9461
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L4187
OR
261QM0850X
Adult Mental Health Clinic/Center
L4187
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
L4187
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636859
—
OR
Enumeration date
01/22/2018
Last updated
01/22/2018
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