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POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC NPI 1760685176


NPI Information

NPI: 1760685176
Provider Name: POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC

Doing Business As: POYAMA COUNSELING SERVICES

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
965 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (503) 588-2004
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POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC is a counselor in Salem, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. POLK YAMHILL & MARION CHILD TREATMENT SERVICES INC NPI is 1760685176. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Poyama Counseling Services.

The provider's business location address is:

965 LIBERTY ST SE
SALEM, OR
ZIP 97302-138
Phone: (503) 588-2004
Fax: (503) 588-2415

The provider's authorized official is Bette Jane M Cox .
The authorized official title is Office Manager and has the following contact phone number (503) 588-2004.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
21041C0700XSocial WorkerClinicalX
3106H00000XMarriage & Family TherapistX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042577MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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