Organization
TREATMENT SERVICES NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY MACKLIN M.S. (DIRECTOR)
(503) 257-0381
Entity
Organization
Contact information
Practice address
948 NE 102ND AVE, SUITE 101, PORTLAND, OR 97220-4064
(503) 257-0381
Mailing address
948 NE 102ND AVE, SUITE 101, PORTLAND, OR 97220-4064
(503) 257-0381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
140607
OR
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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