Second Wind Mental Health Clinic

NPI #1679957708 in Winston, Oregon

Provider Information

NPI Number: 1679957708
Entity Type: Organization
Organization Name: Second Wind Mental Health Clinic
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 18, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 11 SW BRANTLEY DRIVE
City: Winston
State: Oregon
ZIP Code: 97496
Phone: (541) 679-0366

Authorized Official

Name: TAMARA LEE, APRN
Title: SINGLE MEMBER LLC
Phone: (541) 679-0366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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