Organization
ALBERTINA KERR CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI FRAZIER RN (DIRECTOR OF NURSING)
(503) 408-5016
Entity
Organization
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-5016
(503) 255-5094
Mailing address
722 NE 162 ND AVE, PORTLAND, OR 97230
(503) 408-5016
(503) 255-5094
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
097006163RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097006163RN
REGISTERED NURSE
OR
Enumeration date
04/11/2007
Last updated
06/12/2008
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