Kartini Intensive Outpatient Program

NPI 1073699013 - Counselor - 101YM0800X

NPI Details
NPI 1073699013
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVE STEVE
Position DIRECTOR
Phone (503) 249-8851
Fax (503) 282-3409
Practice Location
2800 N. VANCOUVER AVE
SUITE 118
PORTLAND OR, 97227-1634, US
Phone (503) 249-8851
Fax (503) 282-3409
Business Location
2800 N. VANCOUVER AVE
SUITE 118
PORTLAND OR, 97227-1634, US
Phone (503) 249-8851
Fax (503) 282-3409
Toxanomy
Taxonomy Code 101YM0800X
License State Oregon
License Number NON-NUMBERED CERTIFI
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According to our database, Kartini Intensive Outpatient Program NPI is 1073699013, taxonomy code is 101YM0800X and license number is NON-NUMBERED CERTIFI, license state is located at Oregon. Kartini Intensive Outpatient Program physically located at 2800 N. Vancouver Ave, Portland OR, 97227-1634. NPI Number 1033115704 has the healthcare provider type.

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1073699013 NPI number is provided on an as is basis without warranty of any kind. 1073699013 is maintained by the National Plan & Provider Enumeration System. The contents of Kartini Intensive Outpatient Program are for informational purposes only.