Organization
MEREDITH KRUGEL LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEREDITH COLLINS KRUGEL LCSW (OWNER)
(541) 391-2883
Entity
Organization
Contact information
Practice address
2225 NW STEWART PARKWAY STE 200, ROSEBURG, OR 97471
(541) 900-4285
(888) 810-2993
Mailing address
850 PONDEROSA DR., ROSEBURG, OR 97471
(541) 391-2883
(541) 673-8060
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L4071
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R173605
—
OR
Enumeration date
09/07/2018
Last updated
05/20/2019
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