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NPI Code Detail

MEDICARE: CHELSEA BIRT

MEDICARE: CHELSEA BIRT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073976072
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA BIRT
Provider Business Mailing Address
First Line : 9 MONROE PKWY STE 270
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8866
Country : US
Telephone Number : 503-675-2830
Fax Number : 503-675-2852
Provider Business Practice Location Address
First Line : 9 MONROE PKWY STE 270
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8866
Country : US
Telephone Number : 503-675-2830
Fax Number : 503-675-2852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2016
Last Update Date : 07/05/2024

Similar Medicare Providers

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1376941666 — RACHEL E GARCIA LCSW
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Directions to “ CHELSEA BIRT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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