Organization
CATHOLIC COMMUNITY SERVICES OF THE MID WILLAMETTE VALLEY CENTRAL COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI JEAN COX BS, QMHA (ASSOCIATE PROGRAM DIRECTOR)
(503) 856-7061
Entity
Organization
Contact information
Practice address
3737 PORTLAND RD NE, SALEM, OR 97303-2511
(503) 856-7061
(503) 463-6280
Mailing address
PO BOX 20400, KEIZER, OR 97307-0400
(503) 856-7061
(503) 463-6280
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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