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Organization
COLUMBIA COUNTY CHILD ABUSE ASSESSMENT CENTER
Active
Organization
COLUMBIA COUNTY CHILD ABUSE ASSESSMENT CENTER
Active
Other names
Amani Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA K GALOVICH (EXECUTIVE DIRECTOR)
(503) 366-4005
Entity
Organization
Contact information
Practice address
1621 COLUMBIA BLVD, SAINT HELENS, OR 97051-6221
(503) 366-4005
(503) 366-0314
Mailing address
PO BOX 1001, SAINT HELENS, OR 97051-8001
(503) 366-4005
(503) 366-0314
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226810
—
OR
Enumeration date
10/25/2006
Last updated
05/20/2011
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