Organization
SUNNYBROOK - ADDICTION MEDICINE
Active
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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