Caps

NPI 1164711933 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1164711933
Enumeration Date 04/01/2011
Last Updated 04/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TY TY
Position WRAPAROUND FACILITATOR
Phone (503) 576-4568
Fax (503) 361-2782
Practice Location
2421 LANCASTER DR NE
SALEM OR, 97305-1220, US
Phone (503) 576-4568
Fax (503) 361-2782
Business Location
1653 ELK CIR SW
ALBANY OR, 97321-3734, US
Phone (503) 576-4568
Fax (503) 364-6552
Toxanomy
Taxonomy Code 302R00000X
License State Oregon
License Number A5022
Remove 1164711933 NPI Number
 

According to our database, Caps NPI is 1164711933, taxonomy code is 302R00000X and license number is A5022, license state is located at Oregon. Caps physically located at 2421 Lancaster Dr Ne, Salem OR, 97305-1220. NPI Number 1033115704 has the healthcare provider type.

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1164711933 NPI number is provided on an as is basis without warranty of any kind. 1164711933 is maintained by the National Plan & Provider Enumeration System. The contents of Caps are for informational purposes only.