Organization
COLUMBIA COUNTY CHILD ABUSE ASSESSMENT CENTER
Active
Other names
Amani Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA K GALOVICH (EXECUTIVE DIRECTOR)
(503) 366-4005
Entity
Organization
Contact information
Practice address
1621 COLUMBIA BLVD, SAINT HELENS, OR 97051-6221
(503) 366-4005
(503) 366-0314
Mailing address
PO BOX 1001, SAINT HELENS, OR 97051-8001
(503) 366-4005
(503) 366-0314
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226810
—
OR
Enumeration date
10/25/2006
Last updated
05/20/2011
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