Organization
MULTNOMAH COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA THOMPSON RODRIGUEZ (PROGRAM SPECIALIST)
(503) 597-9405
Entity
Organization
Contact information
Practice address
209 SW 4TH AVE, PORTLAND, OR 97204-1813
(503) 988-8291
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3991
(503) 988-9827
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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