Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Other names
FBH Portland
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY A QUINLAN (SYSTEM OPERATIONS ADMINISTRATOR)
(206) 940-9640
Entity
Organization
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
(503) 943-4994
Mailing address
5410 N 44TH ST, TACOMA, WA 98407-3715
(253) 759-9544
(253) 759-9512
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
76
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500736270
—
OR
Enumeration date
09/08/2016
Last updated
06/06/2024
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