Organization
ACT NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN BESSETTE (CONTRACTOR)
(503) 858-7073
Entity
Organization
Contact information
Practice address
909 NW 24TH AVE, PORTLAND, OR 97210-3009
(503) 706-1898
Mailing address
909 NW 24TH AVE, PORTLAND, OR 97210-3009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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