Zora House

NPI 1689011595 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1689011595
Enumeration Date 05/31/2013
Last Updated 05/31/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MARY MARY
Position PRESIDENT/CEO
Phone (503) 645-3581
Fax (503) 533-0152
Practice Location
8303 SW LOCUST ST
TIGARD OR, 97223-8816, US
Phone (503) 645-3581
Fax (503) 533-0152
Business Location
14600 NW CORNELL RD
PORTLAND OR, 97229-5442, US
Phone (503) 645-3581
Fax (503) 533-0152
Toxanomy
Taxonomy Code 320800000X
License State Oregon
License Number 200027
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According to our database, Zora House NPI is 1689011595, taxonomy code is 320800000X and license number is 200027, license state is located at Oregon. Zora House physically located at 8303 Sw Locust St, Tigard OR, 97223-8816. NPI Number 1033115704 has the healthcare provider type.

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1689011595 NPI number is provided on an as is basis without warranty of any kind. 1689011595 is maintained by the National Plan & Provider Enumeration System. The contents of Zora House are for informational purposes only.