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Organization
RAM CLINIC INC.
Active
Organization
RAM CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICCIE BOECKEL CDAC2 (DIRECTOR/OWNER)
(503) 408-9585
Entity
Organization
Contact information
Practice address
3610 NE 82ND AVE, PORTLAND, OR 97220-5120
(503) 408-9585
(503) 408-9456
Mailing address
3610 NE 82ND AVE, PORTLAND, OR 97220-5120
(503) 408-9585
(503) 408-9456
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170140
OMAP
OR
Enumeration date
09/28/2006
Last updated
08/22/2020
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