Organization
INTEGRATED HEALTH CLINICS NE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT EWING (EXECUTIVE DIRECTOR)
(503) 408-9585
Entity
Organization
Contact information
Practice address
3610 NE 82ND AVE, PORTLAND, OR 97220-5182
(503) 408-9585
(503) 408-9456
Mailing address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
08/19/2020
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