Organization
ZENITH HOUSE
Active
Parent organization
LIFEWORKS NORTHWEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEWORKS NORTHWEST
Authorized official
DIANE LACY (BILLING MANAGER)
(503) 645-3581
Entity
Organization
Contact information
Practice address
8303 SW LOCUST ST, TIGARD, OR 97223-8816
(503) 645-3581
(503) 533-0152
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
(503) 629-8517
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
200027
OR
Other
Enumeration date
05/31/2013
Last updated
12/05/2024
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