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Organization

CHOICES DOMESTIC VIOLENCE INTERVENTION PROGRAM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTINE A. CROWE LMFT, CADCIII (DIRECTOR)
(503) 239-7597
Entity
Organization

Contact information

Practice address
9828 E BURNSIDE ST STE 210, PORTLAND, OR 97216-2364
(503) 293-7597
(503) 232-4446
Mailing address
9828 E BURNSIDE ST STE 210, PORTLAND, OR 97216-2364
(503) 293-7597
(503) 232-4446

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OR

Other

Enumeration date
02/01/2010
Last updated
02/01/2010
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