Organization
OREGON FAMILY SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BOYETTE (TRI-COUNTY REGIONL MANAGER)
(971) 209-9292
Entity
Organization
Contact information
Practice address
7110 SW FIR LOOP, TIGARD, OR 97223-8084
(971) 209-5811
Mailing address
7110 SW FIR LOOP, TIGARD, OR 97223-8084
(971) 209-5811
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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