Organization
TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Active
Other names
Telecare ACT-Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVIS (SVP, CFO)
(510) 337-7950
Entity
Organization
Contact information
Practice address
4101 NE DIVISION ST, SUITE 100, GRESHAM, OR 97030-4617
(503) 666-3808
(503) 666-6835
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-6427
(503) 666-6575
(503) 666-4047
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274147
—
OR
Enumeration date
04/09/2007
Last updated
02/11/2020
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