Organization
COMMUNITY ALLIANCE OF TENNATS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MCCARTY (EXECUTIVE DIRECTOR)
(503) 780-3771
Entity
Organization
Contact information
Practice address
401 NE 19TH AVE STE 200, PORTLAND, OR 97232-4800
(503) 780-3771
Mailing address
PO BOX 11176, PORTLAND, OR 97211-0176
(503) 780-3771
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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