Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Autumn Leaf Therapeutic Services

Organization Psychologist · NPI 1689209371

Autumn Leaf Therapeutic Services is a Psychologist in Salem, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3857 Wolverine St NE Ste 6
Salem, OR 97305-4274
Phone: (503) 856-6430
Fax: (503) 877-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Psychologist Taxonomy 103T00000X

Record details

NPI number1689209371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carilyn Ellis — Psychologist/Owner · (503) 856-6430
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing address3857 Wolverine St Ne Ste 6, Salem, OR 97305-4274

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