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Organization

TELECARE MENTAL HEALTH SERVICES OF OREGON, INC

Active
Other names
TELECARE STULTS HOUSE
Organization subpart
No

Provider details

NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization

Contact information

Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
(971) 302-6046
Mailing address
1080 MARINA VILLAGE PARKWAY, SUITE 100, ALAMEDA, CA 94501-1078

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/27/2015
Last updated
05/16/2023
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