Organization
ARISE MENTORS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN REX GOODE B.S.W. (CO-DIRECTOR)
(503) 893-5353
Entity
Organization
Contact information
Practice address
5676 SE GARNET WAY, MILWAUKIE, OR 97267-6252
(503) 893-5353
Mailing address
PO BOX 709, CLACKAMAS, OR 97015-0709
(503) 893-5353
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
DPO1413
OR
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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