MEDICARE: ADAGIO THERAPY CENTER, LLC

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	1041C0700X	Clinical Social Worker	L6113	OR
2	103TC0700X	Clinical Psychologist	2518	OR

General Provider Information

NPI Number	:	1659758167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAGIO THERAPY CENTER, LLC

Provider Business Mailing Address
First Line	:	388 STATE ST
Second Line	:	SUITE 707
City	:	SALEM
State	:	OR
Zip	:	97301-3866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 STATE ST
Second Line	:	SUITE 707
City	:	SALEM
State	:	OR
Zip	:	97301-3866
Country	:	US
Telephone Number	:	818-253-9264
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	DR. MARTHA WANG
Credential	:	PHD
Telephone Number	:	818-253-9264

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	05/05/2015

Similar Medicare Providers

1902095334 — DR. SCOTT KEITH ELMORE PSYD
Practice Location Address:

388 STATE ST STE 985
SALEM, OR
97301-3866

Practice Phone: 503-383-1248
Practice Fax: 503-217-6526

1386808020 — ANNETTE KORKEAKOSKI-SEARS
Practice Location Address:

388 STATE ST STE 702
SALEM, OR
97301-3866

Practice Phone: 503-577-7358
Practice Fax:

1023261526 — MORGAN LOONEY LPC
Practice Location Address:

388 STATE ST
SALEM, OR
97301-3866

Practice Phone: 503-714-1370
Practice Fax:

1093121709 — REJUVEN8 MASSAGE, LLC
Practice Location Address:

388 STATE ST. NE # B60
SALEM, OR
97301-3866

Practice Phone: 503-568-2854
Practice Fax:

1699129445 — MY LIFE ALIVE LLC
Practice Location Address:

388 STATE ST , SUITE 705
SALEM, OR
97301-3866

Practice Phone: 503-807-3444
Practice Fax:

1144822271 — SHANE HALEY LPC
Practice Location Address:

388 STATE ST STE 348
SALEM, OR
97301-3866

Practice Phone: 503-877-5102
Practice Fax:

Directions to “ADAGIO THERAPY CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.