Organization
INHOUSEDOC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN TILLEY MD (OWNER)
(503) 840-0387
Entity
Organization
Contact information
Practice address
23334 SW SAINT CHARLES WAY, SHERWOOD, OR 97140-9483
(503) 840-0387
(503) 925-3023
Mailing address
23334 SW SAINT CHARLES WAY, SHERWOOD, OR 97140-9483
(503) 840-0387
(503) 925-3023
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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