Organization
THE FATHERS HEART STREET MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY JOHNSON (EXECUTIVE DIRECTO)
(503) 314-8649
Entity
Organization
Contact information
Practice address
603 12TH ST, OREGON CITY, OR 97045-1630
(971) 285-7225
Mailing address
603 12TH ST, OREGON CITY, OR 97045-1630
(971) 285-7225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
03/15/2025
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