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Organization
CHRISTIECARE
Active
Organization
CHRISTIECARE
Active
Other names
Christie School
Organization subpart
No
Provider details
NPI number
Authorized official
DEIBELE THERESA (FINANCE AND ADMINISTRATION DIRECTOR)
(503) 675-2228
Entity
Organization
Contact information
Practice address
2507 CHRISTIE DR, MARYLHURST, OR 97036
(503) 635-3416
(503) 697-6932
Mailing address
PO BOX 368, MARYLHURST, OR 97036-0368
(503) 635-3416
(503) 697-6932
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
OR
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
OR
385HR2055X
Child Mental Illness Respite Care
—
OR
Other
Enumeration date
06/14/2006
Last updated
04/09/2009
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