Organization
INTEGRATED HEALTH CLINICS, LLC
Active
Other names
IHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A. EWING (EXECUTIVE DIRECTOR)
(503) 353-9415
Entity
Organization
Contact information
Practice address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Mailing address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
OR
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292910
—
OR
Enumeration date
12/20/2006
Last updated
02/10/2021
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