Organization
NW CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN LAGRANDE GIPSON (MANAGER)
(503) 999-1718
Entity
Organization
Contact information
Practice address
1550 NW 14TH AVE APT 211, PORTLAND, OR 97209-2579
(503) 999-1718
Mailing address
1550 NW 14TH AVE APT 211, PORTLAND, OR 97209-2579
(503) 999-1718
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/22/2023
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