Organization
YOUTH GUIDANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN JAMES LOWEN (EXECUTIVE DIRECTOR)
(503) 234-0085
Entity
Organization
Contact information
Practice address
2730 NE FLANDERS ST, PORTLAND, OR 97232-3160
(503) 234-0085
(503) 234-0089
Mailing address
2730 NE FLANDERS ST, PORTLAND, OR 97232-3160
(503) 234-0085
(503) 234-0089
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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