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Organization
INTEGRATED HEALTH CLINICS, LLC
Active
Organization
INTEGRATED HEALTH CLINICS, LLC
Active
Other names
IHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A. EWING (EXECUTIVE DIRECTOR)
(503) 353-9415
Entity
Organization
Contact information
Practice address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Mailing address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
OR
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292910
—
OR
Enumeration date
12/20/2006
Last updated
02/10/2021
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