Adagio Therapy Center, LLC
Organization Active NPI Clinical Psychologist · Salem, OR
NPI 1659758167 · NPPES record last updated May 5, 2015
Key facts
- NPI
- 1659758167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2518 (OR)
- Legal business name
- ADAGIO THERAPY CENTER, LLC
- Practice address
- 388 State St
Suite 707
Salem, OR 97301-3866 - Phone
- (818) 253-9264
- NPI assigned
- May 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Martha Wang, PHD
- Title
- Clinical Psychologist
- Phone
- (818) 253-9264
Practitioners 2
-
Joshua Jackson English, LCSW
-
Martha Jui-Lan Wang, PH.D.
National Provider Directory
Locations
1230 NE 3rd St
Ste A160D
Bend, OR 97701
Phone (818) 253-9264
388 State St
Ste 707
Salem, OR 97301
Phone (818) 253-9264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 2518 | OR | Yes |
| Clinical Social Worker |
1041C0700X | L6113 | OR |
Addresses
Primary practice location
388 State St
Suite 707
Salem, OR 97301-3866
Mailing address
388 State St
Suite 707
Salem, OR 97301-3866
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All providers in Salem, OR · Clinical Psychologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.