Organization
CHILDRENS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BLEA (TEAM SUPERVISOR)
(503) 588-5352
Entity
Organization
Contact information
Practice address
976 N PACIFIC HWY, WOODBURN, OR 97071-3731
(503) 981-5851
Mailing address
16688 HIGHWAY 99E NE UNIT 53, WOODBURN, OR 97071-9186
(503) 989-5743
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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