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Organization
COMMUNITY SERVICES, INC.
Active
Organization
COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN BOOSE (CEO)
(503) 648-6415
Entity
Organization
Contact information
Practice address
14215 NW SCIENCE PARK DR, PORTLAND, OR 97229-5416
(503) 648-6415
(503) 640-2624
Mailing address
14215 NW SCIENCE PARK DR, PORTLAND, OR 97229-5416
(503) 648-6415
(503) 640-2624
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
DZ0021
OR
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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