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Organization
OREGON COMMUNITY CARE LLC
Active
Organization
OREGON COMMUNITY CARE LLC
Active
Other names
Oregon Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EVANS (PSY.D)
(971) 242-4194
Entity
Organization
Contact information
Practice address
80 SE MADISON ST STE 242, PORTLAND, OR 97214-4527
(443) 585-0187
Mailing address
80 SE MADISON ST STE 242, PORTLAND, OR 97214-4527
(971) 242-4194
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/02/2023
Last updated
02/20/2024
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