COSTA CLINICAL PSYCHOLOGY


Address: 625 Spruce Street, #7666, Brookings, OR 97415

COSTA CLINICAL PSYCHOLOGY (Registry# 116445495) is a business registered with Oregon State, Secretary of State, Corporation Division. The registry date is November 30, 2015.

Business Overview

Registry Number 116445495
Business Name COSTA CLINICAL PSYCHOLOGY
Entity Type ASSUMED BUSINESS NAME
Registry Date 2015-11-30
Business Address 625 Spruce Street
#7666
Brookings
OR 97415

Business Locations and Officers

Type / Role Name Address
Principal Place of Business 625 Spruce Street, #7666, Brookings, OR 97415
Authorized Representative Dani Tibbetts 625 Spruce Street, #7666, Brookings, OR 97415

Other Data Sources

Entity Type Entity Name Entity Address
National Provider Identifier (NPI) COSTA CLINICAL PSYCHOLOGY, LLC 625 Spruce St., # 7666, Brookings, OR 97415

Office Location

Street Address 625 SPRUCE STREET
#7666
City BROOKINGS
State OR
Zip 97415

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Business Officer

Name Role Address
DANI TIBBETTS Authorized Representative 625 Spruce Street, #7666, Brookings, OR 97415

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Improve Information

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Dataset Information

Data Provider Oregon State, Secretary of State, Corporation Division
Jurisdiction Oregon State

This dataset includes 538 thousand companies, business names, and nonprofit corporations registered wtih Oregon State, Secretary of State, Corporation Division.

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