The Trauma Academy Northwest, LLC

NPI #1689100117 in Salem, Oregon

Provider Information

NPI Number: 1689100117
Entity Type: Organization
Organization Name: The Trauma Academy Northwest, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 2425 13TH ST SE BLDG B
City: Salem
State: Oregon
ZIP Code: 97302-2545
Phone: (971) 301-2061

Authorized Official

Name: MR. ABRAHAM REICHLIN, LCSW
Title: OWNER
Phone: (503) 910-6395

Specialties & Taxonomy Codes

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

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