Organization
LOAVES & FISHES CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN SMITH (EXECUTIVE DIRECTOR)
(503) 736-6325
Entity
Organization
Contact information
Practice address
7710 SW 31ST AVE, PORTLAND, OR 97219-2420
(503) 736-6325
(503) 736-6322
Mailing address
7710 SW 31ST AVE, PORTLAND, OR 97219-2420
(503) 736-6325
(503) 736-6322
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
OR
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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