Organization
CHANGEPOINT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN HERNANDEZ PEREZ CADCI (SUBSTANCE USE DISORDER COUNSELOR)
(503) 352-8261
Entity
Organization
Contact information
Practice address
1700 NW 167TH PLACE, SUITE 240, BEAVERTON, OR 97006
(503) 350-2758
(503) 350-1790
Mailing address
1700 NW PLACE, SUITE 240, BEAVERTON, OR 97006
(503) 350-2758
(503) 350-1790
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
15-03-12
OR
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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