Organization
ALBERTINA KERR CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ROSENBLATT MSW (PRESIDENT, YOUTH AND FAMILY SERVICE)
(503) 239-8101
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479
(503) 228-4248
Mailing address
424 NE 22ND AVE, PORTLAND, OR 97232-2809
(503) 239-8101
(503) 239-8109
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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