Hazelden Beaverton

NPI 1063738185 - Clinic/Center - 261QM1300X

NPI Details
NPI 1063738185
Enumeration Date 04/14/2010
Last Updated 11/14/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DAWN DAWN
Position CORPORATE CONTROLLER
Phone (503) 644-7300
Fax (503) 747-7851
Practice Location
1500 NW BETHANY BLVD
SUITE 240
BEAVERTON OR, 97006, US
Phone (503) 644-7300
Fax (503) 747-7851
Business Location
1500 NW BETHANY BLVD
SUITE 240
BEAVERTON OR, 97006, US
Phone (503) 644-7300
Fax (503) 747-7851
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
Remove 1063738185 NPI Number
 

According to our database, Hazelden Beaverton NPI is 1063738185, taxonomy code is 261QM1300X Hazelden Beaverton physically located at 1500 Nw Bethany Blvd, Beaverton OR, 97006. NPI Number 1033115704 has the healthcare provider type.

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1063738185 NPI number is provided on an as is basis without warranty of any kind. 1063738185 is maintained by the National Plan & Provider Enumeration System. The contents of Hazelden Beaverton are for informational purposes only.