Organization
NORTHWEST FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE FULLER (EXECUTIVE DIRECTOR)
(503) 546-6377
Entity
Organization
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
(503) 546-9397
Mailing address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
(503) 546-9397
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679014
—
OR
05
—
500698281
—
OR
05
—
500841490
—
OR
Enumeration date
12/15/2006
Last updated
09/29/2025
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