Wild Lilac Child Development Community

NPI 1073804092 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1073804092
Enumeration Date 04/25/2011
Last Updated 04/25/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KATE KATE
Position EXECUTIVE DIRECTOR
Phone (503) 236-3240
Fax
Practice Location
1533 SE 32ND AVE
PORTLAND OR, 97214-5008, US
Phone (503) 236-3240
Fax
Business Location
1533 SE 32ND AVE
PORTLAND OR, 97214-5008, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Wild Lilac Child Development Community NPI is 1073804092, taxonomy code is 251S00000X Wild Lilac Child Development Community physically located at 1533 Se 32nd Ave, Portland OR, 97214-5008. NPI Number 1033115704 has the healthcare provider type.

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1073804092 NPI number is provided on an as is basis without warranty of any kind. 1073804092 is maintained by the National Plan & Provider Enumeration System. The contents of Wild Lilac Child Development Community are for informational purposes only.