Organization
KINSHIP HOUSE
Active
Organization
KINSHIP HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JEFFERIES (INTAKE COORDINATOR)
(503) 460-2796
Entity
Organization
Contact information
Practice address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
Mailing address
1823 NE 8TH AVE, PORTLAND, OR 97212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210418
—
OR
Enumeration date
10/16/2014
Last updated
10/16/2014
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