Courtney Marie Childress

NPI 1518269430 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1518269430
Gender Female
Enumeration Date 11/29/2010
Last Updated 11/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1500 NE IRVING ST
SUITE 250
PORTLAND OR, 97232-2243, US
Phone (503) 233-4356
Fax
Business Location
13833 SE RAYMOND ST
PORTLAND OR, 97236-4010, US
Phone
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Courtney Marie Childress NPI is 1518269430, taxonomy code is 171M00000X Courtney Marie Childress physically located at 1500 Ne Irving St, Portland OR, 97232-2243. NPI Number Courtney Marie Childress has the Individual type.

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1518269430 NPI number is provided on an as is basis without warranty of any kind. 1518269430 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Marie Childress are for informational purposes only.