Organization
PACIFIC ISLAND COMMUNITY OF OREGON LLC
Active
Organization
PACIFIC ISLAND COMMUNITY OF OREGON LLC
Active
Other names
Pacific Island Community of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
AITAOTO SALU MA (FOUNDER)
(503) 680-1905
Entity
Organization
Contact information
Practice address
237 NE CHKALOV DR STE 215, VANCOUVER, WA 98684-5054
(503) 680-1905
Mailing address
237 NE CHKALOV DR STE 215, VANCOUVER, WA 98684-5054
(503) 680-1905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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