Grounded Transitions

NPI 1073901088 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1073901088
Enumeration Date 12/27/2014
Last Updated 12/27/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name KATELYN KATELYN
Position CEO
Phone (503) 858-7073
Fax
Practice Location
8106 N VAN HOUTEN AVE
PORTLAND OR, 97203-6074, US
Phone (503) 858-7073
Fax
Business Location
8106 N VAN HOUTEN AVE
PORTLAND OR, 97203-6074, US
Phone (503) 858-7073
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Oregon
License Number 15928668
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According to our database, Grounded Transitions NPI is 1073901088, taxonomy code is 251S00000X and license number is 15928668, license state is located at Oregon. Grounded Transitions physically located at 8106 N Van Houten Ave, Portland OR, 97203-6074. NPI Number 1033115704 has the healthcare provider type.

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1073901088 NPI number is provided on an as is basis without warranty of any kind. 1073901088 is maintained by the National Plan & Provider Enumeration System. The contents of Grounded Transitions are for informational purposes only.