Evergreen Therapy & Trauma Services

NPI #1992526065 in Keizer, Oregon

Provider Information

NPI Number: 1992526065
Entity Type: Organization
Organization Name: Evergreen Therapy & Trauma Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 22, 2024
Last Updated: Oct 30, 2024

Practice Location

Address: 4380 CHERRY AVE NE
City: Keizer
State: Oregon
ZIP Code: 97303-4855
Phone: (971) 458-3064

Authorized Official

Name: CASSANDRA AGLIETTI, LCSW
Title: PRESIDENT
Phone: (971) 458-3064

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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