Organization
PORTLAND AREA RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JENNINGS CADC II (OWNER)
(971) 300-5518
Entity
Organization
Contact information
Practice address
1017 SW MORRISON ST, SUITE 502, PORTLAND, OR 97205-2635
(971) 300-5518
Mailing address
2425 SW 171ST PL, BEAVERTON, OR 97006-4300
(971) 300-5518
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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