Michael P Beaver Lcsw INC

NPI #1194867382 in Salem, Oregon

Provider Information

NPI Number: 1194867382
Entity Type: Organization
Organization Name: Michael P Beaver Lcsw INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 13, 2007
Last Updated: Nov 5, 2009

Practice Location

Address: 2367 STATE ST STE 100
City: Salem
State: Oregon
ZIP Code: 97301-4541
Phone: (503) 587-0623

Authorized Official

Name: MICHAEL P BEAVER, LCSW
Title: OWNER
Phone: (503) 540-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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