Organization
PORTLAND FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAROL COPELAND (OWNER)
(725) 218-6251
Entity
Organization
Contact information
Practice address
439 N BROADWAY, PORTLAND, OR 97227-1803
(725) 218-6251
Mailing address
439 N BROADWAY, PORTLAND, OR 97227-1803
(725) 218-6251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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