Organization
PORTLAND IOP, LLC
Active
Organization
PORTLAND IOP, LLC
Active
Other names
Klean Gresham
Organization subpart
No
Provider details
NPI number
Authorized official
ALIXAUNDREA CORRIN POLI (OFFICE MANAGER)
(360) 969-4787
Entity
Organization
Contact information
Practice address
748 SE 181ST AVE, PORTLAND, OR 97233-4945
(503) 825-7046
Mailing address
2675 NW THURMAN ST, PORTLAND, OR 97210-2202
(503) 825-7046
(503) 432-8913
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up