Organization
ACCORDING TO HIS WORD OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DENISE MINNIEWEATHER (DIRECTOR)
(503) 516-9147
Entity
Organization
Contact information
Practice address
4835 NE 107TH AVE STE 41, PORTLAND, OR 97220-2507
(503) 516-9147
Mailing address
4835 NE 107TH AVE STE 41, PORTLAND, OR 97220-2507
(503) 516-9147
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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