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Organization

A VILLAGE FOR ONE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CASSANDRA JOY TRAHAN LCSW, RN (EXECUTIVE DIRECTOR/CO-FOUNDER)
(503) 730-1469
Entity
Organization

Contact information

Practice address
702 JOHN ADAMS STREET, OREGON CITY, OR 97045
(503) 730-1469
(971) 204-7198
Mailing address
PO BOX 1385, OREGON CITY, OR 97045
(503) 730-0146
(971) 204-7198

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L4653
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500726950
OR
Enumeration date
07/16/2015
Last updated
12/06/2023
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