Organization
CASCADIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDESLAM EL AZAOUI (RESIDENTIAL COUNSELOUR)
(503) 980-5726
Entity
Organization
Contact information
Practice address
7511 SE HENRY ST, PORTLAND, OR 97206-6445
(503) 771-6061
Mailing address
3323 SW MULTNOMAH BLVD APT 42, PORTLAND, OR 97219-3774
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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