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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