Organization
KAISER PERMENENTE SUNNYSIDE MEDICAL CENTER
Active
Other names
Brookside Addiction Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRINA MILLER (MILIEU COUNSELOR 1)
(503) 702-5826
Entity
Organization
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 702-5826
Mailing address
PO BOX 513, CLACKAMAS, OR 97015-0513
(503) 702-5826
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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