Organization
MEADOWLARK COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G RANKIN MSW, QMHP, CSWA (CHAIR 2)
(503) 901-9034
Entity
Organization
Contact information
Practice address
2324 SE CARUTHERS ST, PORTLAND, OR 97214-5520
(503) 901-9034
Mailing address
2324 SE CARUTHERS ST, PORTLAND, OR 97214-5520
(503) 901-9034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1509120-4
OR
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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