Organization
RECOVERY WORKS NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI MCBRIDE (DIRECTOR OF OPERATIONS)
(503) 906-9995
Entity
Organization
Contact information
Practice address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(503) 906-9995
(503) 597-7000
Mailing address
12540 SW MAIN ST STE 202, TIGARD, OR 97223-6198
(503) 906-9995
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694901
—
OR
Enumeration date
09/23/2021
Last updated
09/23/2021
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