Organization
211INFO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA KANGAS (DIRECTOR OF PARTNERSHIPS)
(503) 416-2632
Entity
Organization
Contact information
Practice address
7535 NE AMBASSADOR PL STE B, PORTLAND, OR 97220-6807
(503) 222-5555
Mailing address
7535 NE AMBASSADOR PL STE B, PORTLAND, OR 97220-6807
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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