Whalio Doctors

NPI 1003687252

Rebecca Soupir, LCSW

Practitioner Clinical Social Worker La Grande, OR

Practice location

Address
1612 5th St, La Grande, OR 97850-2516
Phone
(541) 975-4488
Mailing address
2206 1st St, La Grande, OR 97850-1705

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 11387 (OR)

Registry record

NPI
1003687252
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Jan 2024
Record last updated
15 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.