Organization
POLK COUNTY HEALTH AND HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE CHANCE (DIRECTOR)
(503) 623-9289
Entity
Organization
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9289
Mailing address
182 SW ACADEMY ST, DALLAS, OR 97338-1922
(503) 623-9289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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