Organization
PACIFIC COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MANZI (OPERATIONS MANAGER)
(503) 734-5698
Entity
Organization
Contact information
Practice address
10017 NE 13TH AVE, PORTLAND, OR 97211-1563
(503) 734-5698
Mailing address
10017 NE 13TH AVE, PORTLAND, OR 97211-1563
(503) 734-5698
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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