Organization
CAPS
Active
Organization
CAPS
Active
Other names
New Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TY POS MA (WRAPAROUND FACILITATOR)
(503) 576-4568
Entity
Organization
Contact information
Practice address
2421 LANCASTER DR NE, SALEM, OR 97305-1220
(503) 576-4568
(503) 361-2782
Mailing address
1653 ELK CIR SW, ALBANY, OR 97321-3734
(503) 576-4568
(503) 364-6552
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A5022
OR
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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