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Organization
KAISER PERMENENTE SUNNYSIDE MEDICAL CENTER
Active
Organization
KAISER PERMENENTE SUNNYSIDE MEDICAL CENTER
Active
Other names
Brookside Addiction Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRINA MILLER (MILIEU COUNSELOR 1)
(503) 702-5826
Entity
Organization
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 702-5826
Mailing address
PO BOX 513, CLACKAMAS, OR 97015-0513
(503) 702-5826
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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