# INHOUSEDOC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740812809
- **Authorized official:** DR. ROBERT JOHN TILLEY MD (OWNER)
- **Authorized official phone:** (503) 840-0387

## Contact information

- **Practice address:** 23334 SW SAINT CHARLES WAY, SHERWOOD, OR 97140-9483
- **Practice address phone:** (503) 840-0387
- **Practice address fax:** (503) 925-3023
- **Mailing address:** 23334 SW SAINT CHARLES WAY, SHERWOOD, OR 97140-9483
- **Mailing address phone:** (503) 840-0387
- **Mailing address fax:** (503) 925-3023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2020
- **Last updated:** 02/06/2020
