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Organization
MID-COLUMBIA CENTER FOR LIVING
Active
Organization
MID-COLUMBIA CENTER FOR LIVING
Active
Other names
MCCFL
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BARTON (DEPUTY DIRECTOR)
(541) 296-5452
Entity
Organization
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-9418
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-9418
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139431
—
OR
05
—
139670
—
OR
Enumeration date
01/23/2006
Last updated
12/19/2022
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