Organization
CLATSOP BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BAKER (CEO)
(503) 325-0241
Entity
Organization
Contact information
Practice address
65 N HWY 101 SUITE 204, WARRENTON, OR 97146
(503) 325-0241
(503) 861-2043
Mailing address
65 N HWY 101 SUITE 204, WARRENTON, OR 97146
(503) 325-0241
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
251B00000X
Case Management Agency
—
OR
251S00000X
Community/Behavioral Health Agency
—
OR
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030494
—
OR
05
—
500634477
—
OR
Enumeration date
08/04/2006
Last updated
04/27/2023
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