Organization
BH-OR OP MLK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ENGBRECHT ESQ (GENERAL COUNSEL)
(858) 254-2510
Entity
Organization
Contact information
Practice address
4943 NE MARTIN LUTHER KING BLVD # 103, PORTLAND, OR 97211-3353
(503) 504-4042
Mailing address
PO BOX 12269, PORTLAND, OR 97212-0269
(858) 254-2510
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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