MEDICARE: ANNETTE KORKEAKOSKI-SEARS

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
1	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1386808020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE KORKEAKOSKI-SEARS

Provider Business Mailing Address
First Line	:	3876 BEVERLY AVE NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-1319
Country	:	US
Telephone Number	:	503-763-5730
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 STATE ST STE 702
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-3866
Country	:	US
Telephone Number	:	503-577-7358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	10/09/2017

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Directions to “ ANNETTE KORKEAKOSKI-SEARS ” Practice Location

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