Organization
CENTER FOR BEHAVIORAL INVERVENTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN H. JENSEN M.A. (DIRECTOR)
(503) 644-2772
Entity
Organization
Contact information
Practice address
4345 SW 109TH, BEAVERTON, OR 97005
(503) 644-2772
(503) 644-2127
Mailing address
4345 SW 109TH, BEAVERTON, OR 97005
(503) 644-2772
(503) 644-2127
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055728
DMAP-INACTIVE
OR
Enumeration date
03/19/2013
Last updated
03/19/2013
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