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Organization

PARENTING WITH INTENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY DAWN WOODCOCK M.ED (EXECUTIVE DIRECTOR)
(503) 709-8592
Entity
Organization

Contact information

Practice address
4423 NE TILLAMOOK ST, PORTLAND, OR 97213
(503) 850-7979
Mailing address
4423 NE TILLAMOOK ST, PORTLAND, OR 97213
(503) 850-7979
(888) 501-7621

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/28/2016
Last updated
11/04/2024
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