Organization
SANCTUARY AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KARANJA (PROVIDER)
(503) 949-2030
Entity
Organization
Contact information
Practice address
3815 SW 102ND AVE, BEAVERTON, OR 97005-3245
(503) 949-2030
Mailing address
1883 NW RAVENWOOD DR, ALBANY, OR 97321-1156
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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