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Organization
DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA: IRS/EOPC/EOTC/OSH/OSH-P
Active
Organization
DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA: IRS/EOPC/EOTC/OSH/OSH-P
Active
Other names
Eastern Oregon Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R. KITTRELL (INSTITUTIONAL REVENUE SECTION MGR.)
(503) 945-9440
Entity
Organization
Contact information
Practice address
2525 WESTGATE, PENDLETON, OR 97801-9613
(541) 276-0820
(541) 276-1147
Mailing address
PO BOX 14900, SALEM, OR 97309-5016
(503) 945-9469
(503) 947-1007
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
6021
OR
Other
Enumeration date
06/20/2006
Last updated
09/21/2007
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