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Organization

SUNNYBROOK - ADDICTION MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALEREE KIM STEWART CNA (CNA)
(503) 957-1906
Entity
Organization

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-0880
Mailing address
3216 SE 84TH AVE, PORTLAND, OR 97266-2010
(503) 957-1906

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
02/23/2009
Last updated
02/23/2009
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