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Organization
NORTHEAST OREGON COMMUNITY PARTNERSHIP
Active
Organization
NORTHEAST OREGON COMMUNITY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A GOLDSTEIN LCSW (EXECUTIVE DIRECTOR)
(541) 962-0162
Entity
Organization
Contact information
Practice address
1101 I AVE, LA GRANDE, OR 97850-2043
(541) 962-0162
(541) 962-0119
Mailing address
1101 I AVE, LA GRANDE, OR 97850-2043
(541) 962-0162
(541) 962-0119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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