Fernreach, Llc.

LBN: Fernreach, Llc.
Fernreach, Llc. is an health care organization with primary practice located at 304 S 13Th St , Cottage Grove OR 97424-2315. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fernreach, Llc. can be contacted via phone (458) 201-4911, or through Clarke, Valeria via phone (541) 915-2690.

Contact Information

Primary practice address
304 S 13Th St Cottage Grove OR 97424-2315
Phone: (458) 201-4911
Fax: (541) 228-9370
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Valeria Licensed Clinical Social Worker (LCSW)
Phone: (541) 915-2690

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1952048977
LBN Legal business name Fernreach, Llc.
DBA Doing business as
Authorized official Clarke, Valeria Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2022
Last updated May 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952048977 NPPES
Oregon MEDICAID 019047
Oregon Other 500660349

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