# YOUTH GUIDANCE ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154758266
- **Authorized official:** MR. MARTIN JAMES LOWEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (503) 234-0085

## Contact information

- **Practice address:** 2730 NE FLANDERS ST, PORTLAND, OR 97232-3160
- **Practice address phone:** (503) 234-0085
- **Practice address fax:** (503) 234-0089
- **Mailing address:** 2730 NE FLANDERS ST, PORTLAND, OR 97232-3160
- **Mailing address phone:** (503) 234-0085
- **Mailing address fax:** (503) 234-0089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | OR | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013