White Shield Center

NPI 1548652316 - Counselor - 101Y00000X

NPI Details
NPI 1548652316
Enumeration Date 03/03/2015
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DIANE DIANE
Position EXECUTIVE DIRECTOR
Phone (503) 731-3960
Fax
Practice Location
2640 NW ALEXANDRA AVE
PORTLAND OR, 97210-1289, US
Phone (503) 731-3960
Fax
Business Location
PO BOX 10027
WHITE SHIELD CENTER
PORTLAND OR, 97296, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, White Shield Center NPI is 1548652316, taxonomy code is 101Y00000X White Shield Center physically located at 2640 Nw Alexandra Ave, Portland OR, 97210-1289. NPI Number 1033115704 has the healthcare provider type.

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1548652316 NPI number is provided on an as is basis without warranty of any kind. 1548652316 is maintained by the National Plan & Provider Enumeration System. The contents of White Shield Center are for informational purposes only.