Organization
JULIETTE'S HOUSE CHILD ABUSE ASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN COLEMAN (EXECUTIVE DIRECTOR)
(503) 435-1550
Entity
Organization
Contact information
Practice address
1075 SW CEDARWOOD AVE, MCMINNVILLE, OR 97128-6818
(503) 435-1550
(503) 435-1435
Mailing address
1075 SW CEDARWOOD AVE, MCMINNVILLE, OR 97128-6818
(503) 435-1550
(503) 435-1435
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150468
OREGON HEATH PLAN
OR
Enumeration date
09/27/2006
Last updated
08/22/2020
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