Organization
INTERLINK COE NETWORKS AND PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN VANDYKE (PRESIDENT)
(503) 640-2000
Entity
Organization
Contact information
Practice address
4660 NE BELKNAP CT, SUITE 209, HILLSBORO, OR 97124-6467
(503) 640-2000
(503) 640-2028
Mailing address
4660 NE BELKNAP CT, SUITE 209, HILLSBORO, OR 97124-6467
(503) 640-2000
(503) 640-2028
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MD08562
OR
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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